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Spinning Dials - EMCrit

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The peak pressure is essentially meaningless Plateau pressure must be maintained <30 cm H20. Keep lowering the Vt until Plat <30. You may need to go as low as 4 cc/kg. Disadvantages of this strategy It is not the most comfortable strategy of ventilation for awake, spontaneously breathing patients Use sedation/pain medications

  Pressure, Ventilation, Metrics

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