Provided by Dr. Nuttapol Rittayamai Case Synopsis A 59 years old man presented with COVID-19 pneumonia and severe ARDS. He was ventilated, heavily sedated and paralyzed, and received prone positioning for two consecutive weeks. After discontinuing cisatracurium, he developed asynchrony with the mode Pressure Regulated Volume Control (PRVC). We decided to put an EAdi catheter…

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Based on the recently published paper “Impact of Respiratory Rate and Dead Space in the Current Era of Lung Protective Mechanical Ventilation”, we will discuss here briefly the different part of the dead space and how it can be reduced, as well as the relations with respiratory rate, tidal volume and alveolar ventilation (part 2).…

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Protective mechanical ventilation should be implemented after intubation in ARDS and in non ARDS patients, and in COVID-19 patients with pneumonia. However, protective ventilation does not just mean tidal volume reduction and we would like to focus here on the respiratory rate and the instrumental dead space. Based on the recently published paper “Impact of…

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