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Acute Respiratory Distress Syndrome management scenarios

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Ventilator liberation and weaning protocols

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Rapid response and emergency ventilation

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Pediatric and geriatric ventilation

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Featured Case Study: Severe ARDS Management

Patient History

52-year-old male admitted with severe hypoxemic respiratory failure secondary to COVID-19 pneumonia.

Initial Presentation
  • SpO2: 88% on 100% FiO2
  • Respiratory Rate: 32 breaths/min
  • PaO2/FiO2 ratio: 80
  • Bilateral infiltrates on chest X-ray
Management Strategy
  1. Implementation of lung-protective ventilation
  2. Prone positioning protocol
  3. PEEP titration based on compliance
  4. Daily assessment of recruitment potential
Learning Points
  • Low tidal volume strategy
  • PEEP optimization
  • Recruitment maneuvers
  • Prone positioning timing