Table 1.
Mechanical ventilation (MV) settings in a patient with HIV/AIDS and severe acute respiratory distress syndrome treated with veno‐venous extracorporeal membrane oxygenation (ECMO)
Hospital day | Mode | FIO2 | Vt (mL) or PIP (cmH2O) | PEEP (cmH2O) | RR (/min) |
---|---|---|---|---|---|
Day 1 | VCV | 0.50 | 420 mL | 8 | 12 |
Day 2 | PCV | 0.45 | 15 | 8 | 12 |
Day 3 | PCV | 0.40 | 15 | 10 | 8 |
Day 4 | PCV | 0.50 | 15 | 10 | 8 |
Day 5 | PCV | 0.70 | 18 | 15 | 8 |
ECMO introduced | |||||
Day 6 | PSV | 0.40 | 8 | ||
Day 9 | PCV | 0.50 | 18 | 6 | 15 |
Day 11 | PCV | 0.40 | 20 | 10 | 8 |
Fixed MV settings and changed only as needed | |||||
Day 23 | PCV | 0.40 | 25 | 8 | 20 |
PCV | 0.60 | 25 | 8 | 20 | |
Increased FIO2, then ECMO decannulated |
PCV, pressure control ventilation; PEEP, positive end‐expiratory pressure; PIP, peak inspiratory pressure; PSV, pressure support ventilation; RR, respiratory rate; VCV, volume control ventilation; Vt, tidal volume.