A 45-year-old man with severe ARDS is being ventilated. The team notes his compliance has improved from 15 to 35 mL/cmH2O over 5 days, PaO2/FiO2 has i...

Question

A 45-year-old man with severe ARDS is being ventilated. The team notes his compliance has improved from 15 to 35 mL/cmH2O over 5 days, PaO2/FiO2 has improved from 80 to 220 mmHg, and his PEEP requirement has decreased from 16 to 8 cmH2O. What phase of ARDS does this trajectory suggest?

Accepted Answer

Resolution phase - improving compliance, improving oxygenation, and decreasing PEEP requirements indicate the inflammatory process is resolving and alveolar repair is occurring

Answer

Worsening exudative phase

Answer

Development of pulmonary fibrosis

Answer

New infection

Answer

Ventilator malfunction showing false improvement

uk-fficm MCQ (SBA): ARDS Resolution

A 45-year-old man with severe ARDS is being ventilated. The team notes his compliance has improved from 15 to 35 mL/cmH2O over 5 days, PaO2/FiO2 has improved from 80 to 220 mmHg, and his PEEP requirement has decreased from 16 to 8 cmH2O. What phase of ARDS does this trajectory suggest?