In this episode of the ACCRAC podcast, Jed Wolpaw welcomes Dr. Scott Stephens to discuss advanced ventilator modes used primarily in the ICU, including PRVC, volume support, PAV, NAVA, APRV, and ASV, emphasizing that these modes are alternatives rather than superior options to basic modes. They explore the theoretical benefits, settings, and potential drawbacks of each mode, highlighting the limited evidence supporting their widespread use. The conversation shifts to managing severe ARDS, focusing on neuromuscular blockade, prone positioning, and, as a last resort, ECMO, detailing ventilation strategies for patients on ECMO and underscoring the importance of lung protection.
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