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Basic assessment of difficulty during volume-controlled mechanical ventilation*

Basic assessment of difficulty during volume-controlled mechanical ventilation*

PIP: peak inspiratory pressure; Pplat: plateau pressure; RMSB: right main-stem bronchus; PEEP: positive end-expiratory pressure; ETT: endotracheal tube.

* This flow chart provides a simplified scheme for determining potential sources of difficulty in patients managed with volume-controlled mechanical ventilation. For details, refer to the UpToDate topics discussing troubleshooting in patients on mechanical ventilation.
Adapted from: Fessler MB, Welsh CH. Mechanical Ventilation: Invasive and Noninvasive. In: Current Diagnosis and Treatment in Pulmonary Medicine, McPhee SJ, Papadakis MA, Tierney LM (Eds), McGraw-Hill 2003.
Graphic 50510 Version 5.0