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High airway pressures (Management (For patient or ETT problems (Examine…
High airway pressures
Management
Disconnect the patient from the ventilator and attach ETT directly onto self-inflating bag with 100% 02 and maintenance of anaesthesia
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Causes
Consider context
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Recent procedure e.g. CVC, regional?
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Patient
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Decreased compliance
Lung e.g. ARDS, APO, consolidation
Pleura e.g. pneumothorax, pleural effusion
Chest wall e.g. abdo distension, obesity
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Capnography
Increased airway resistance e.g. bronchospasm, ETT kinking
Incomplete expiratory valve, in which expired gas is reinspired through the inspiratory limb