
Podcast 112 - When Mental Models #FAIL w/ Tom Grawey & Bryan Selvage
FOAMfrat Podcast
00:00
How to De-Recruit a Patient With Refractory Hypoxemia
A patient was being called refractory hypoxemia they could not get this patient's paul socks up. The peep is like 20 and the the pips are high and the vte's are horrible. When we switched the patient over we dropped the peep by five and the patient got a little bit better. What are the chances that we just need to drop that peep? And then I start thinking oh do they have like a pfo Or like increasing the pulmonary pressures is creating a right to left hypoxymic shunt.
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