Clinical Case

The control ABG you ordered came back with better results and the rest of the night was uneventful. However, the morning team takes over the case and, since the patient is oxygenating better on FiO2 60%,  your colleagues want to assess if they can alleviate the sedation and move the patient towards a gradual weaning from mechanical ventilation. They start by trying VC-SIMV with a pressure support of 12cmH2O, but they are rapidly concerned by the curves they see and the patient looks very uncomfortable.