Adjustment ideas
- Lower RR when clinically acceptable.
- Lower VT if appropriate.
- Increase inspiratory flow / shorten inspiratory time.
- Use square wave in obstructive physiology when appropriate.
- Treat bronchospasm and suction obstruction.
Vent control
Adjust I:E for auto-PEEP
The fix is usually more expiratory time, not more rate.
Clinical review / use limits
Authored by: Airway of the Month education team. Last reviewed: July 2026. Audience: EM learners, faculty, EMS, RT, simulation educators, and airway teams.
This is an educational cognitive-aid scaffold, not a bedside order set. Verify medications, ventilator changes, pediatric dosing, and procedures against local ED, ICU, anesthesia, pharmacy, RT, EMS, and pediatric policies.
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