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High respiratory rate strategy


What strategies can I You can use volume control mode with a high respiratory rate (RR) strategy to manage patients with ARDS.
use to treat patients
with ARDS? Increase RR PaCO2

Air trapping

Air trapping in restrictive lung disease is bad, but air


trapping may help your ARDS patient!!! Alveolar
recruitment
Air trapping can act like PEEP and help recruit and
stabilize the collapsed alveoli.
Volume control mode

Low tidal
volume strategy
High respiratory rate
High respiratory
rate strategy Low tidal volume
Plateau pressure ≤ 30 cmH2O
Optimal PEEP strategy
pH as low as 7.30

PaCO2 Treating ARDS patients with a high RR strategy is


35 45 like walking a fine line... and you may need to adjust,
and readjust, RR as necessary to balance PaCO2 and
<7.30
plateau pressure.

pH
7.35 7.45

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