The therapist is providing mechanical ventilation to a patient who suffered TBI. The therapist is contemplating performing a recruitment maneuver on this patient. What should the therapist do?
A. The therapist should not perform a recruitment maneuver.
B. The therapist should conduct a modified recruitment maneuver.
C. A recruitment maneuver would likely be beneficial for this patient.
D. Because of the nature of this patient's lung status, a recruitment maneuver will not improve oxygenation.
ANS: A
A. Correct response: The use of recruitment maneuvers is controversial in patients with TBI. Most research data on this type patient have shown that recruitment maneuvers decrease MAP and increase ICP. Consequently the recommendation is to avoid the use of recruitment maneuvers in these type patients. Other protective lung strategies such as low Vts and the application of PEEP are advocated.
B. Incorrect response: See explanation A.
C. Incorrect response: See explanation A.
D. Incorrect response: See explanation A.?
You might also like to view...
Fires involving large quantities of combustible metals may be impossible to extinguish if not caught in the _________________
a. Incipient stage b. Decay stage c. Free burning stage d. Acceleration stage
Which of the following items is a technical safeguard of the Security Rule?
a. Workstation location c. Sufficient storage capacity b. Data backup plan d. Entity authentication