Question # 57

Severe ARDS with FiO₂ 0.9, PEEP 14, VT 6 mL/kg, plateau 28 remains hypoxemic; dyssynchrony persists despite sedation. Hemodynamics are stable. BEST next step?

Options:

A.

Increase VT to 8 mL/kg

B.

Short-course neuromuscular blockade and maintain strict lung-protective settings

C.

Reduce PEEP to 6

D.

Switch to spontaneous mode

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