You are transporting a 65-year-old male patient who has been intubated and placed on invasive mechanical ventilation due to acute respiratory distress. During the transport, the patient shows signs of agitation and an increase in peak inspiratory pressure. What is the most likely cause of increased peak inspiratory pressure in this situation?
The most likely cause of increased peak inspiratory pressure in an intubated patient is the presence of a kinked or obstructed endotracheal tube. This could lead to increased resistance within the tube, causing higher pressure readings on the ventilator. Checking the tube for kinks, dislodgement, or obstructions should be the first step. Other potential causes include patient-ventilator asynchrony and bronchospasm, but a kinked or obstructed tube is the most immediate concern.
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BCEN CFRN
Resuscitation Principles
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