A chronic obstructive pulmonary disease (COPD) patient in respiratory failure is receiving venti-latory support in the volume-targeted intermittent mandatory ventilation mode at a rate of 6/min
You measure an auto-PEEP level of 9 cm H2O. Which of the following would you recommend to decrease the effects of auto-PEEP in this patient?
a. Decreasing the rate and increasing VT.
b. Lowering the VT and letting the PaCO2 rise.
c. Applying 4 to 6 cm H2O PEEP.
d. Decreasing the peak inspiratory flow.
ANS: C
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