A patient is intubated due to hypercapnic respiratory failur…
A patient is intubated due to hypercapnic respiratory failure from an acute exacerbation of chronic obstructive pulmonary disease. The patient is now breathing on the vent with a set PEEP of 5 cm H2O. The patient is unable to flow trigger every inspiration. Unintended positive end-expiratory pressure (auto-PEEP) is measured at 10 cm H2O. After optimizing vent settings such as flow shape, Ti, f, and VT, the most appropriate action to take is which of the following?
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