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PSV mode and Large TVs

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It’s not infrequently I’ll switch someone to PSV and they are taking huge TVs no matter what level of support is set. Is this injurious? Or is it, the patient will take whatever size breath he wants since it’s PSV so leave it alone. Is anyone increasing the flow cycling criteria to give a shorter breath and less TV?

I’m concerned when TVs are >8/kg IBW or maybe the patients diaphragm is really pulling hard and generating large transpulmonary pressures and I’m just seeing small pressure...

PSV mode and Large TVs

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