Question # 40

A ventilated ARDS patient remains hypoxemic despite FiO₂ 0.9, PEEP 14, VT 6 mL/kg, plateau 28. Hemodynamics are acceptable. Which adjunct is MOST appropriate to implement during transport with trained team and equipment?

Options:

A.

Recruitment maneuver with sustained 40 cm H₂O for 60–90 seconds in all patients

B.

Prone positioning with meticulous airway/line protection

C.

Increase VT to 8 mL/kg to improve oxygenation

D.

Reduce PEEP to 6 to lower intrathoracic pressure

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