Rescue
Ventilator pivots
Obstructive, ARDS, acidosis, neuro, shock/RV.
- Obstructive: lower RR, long expiratory time, avoid stacking.
- ARDS/hypoxemia: PBW-based low VT, PEEP strategy, plateau pressure.
- DKA/acidosis: avoid loss of compensatory ventilation.
- Shock/RV: avoid excessive intrathoracic pressure.