Lung-protective ventilation reduces mortality.
Initial settings
- • VT 6 mL/kg PBW
- • RR 12-20
- • PEEP 5
- • FiO2 to SpO2 92-96%
- • Plateau pressure <30 cmH2O
ARDS
- • VT 4-6 mL/kg PBW, Pplat <30, driving pressure <15
- • Higher PEEP table for moderate-severe
- • Prone for P/F <150
Obstructive (asthma/COPD)
- • Low RR (8-10), long expiratory time
- • Watch dynamic hyperinflation (intrinsic PEEP)
Pearls
- • Check plateau pressure routinely
- • Wean via daily SBT once cause reversing
Educational support only — follow institutional ICU protocols.
