Flight Crew Buddy LLC

Academy

See the lung · 5 min

Waveforms that matter at 3 a.m.

Keep pressure and flow up. Volume is optional. Loops if you have the screen space. The T1 will lie to you in numbers before it lies in the trace.

AutoPEEP

Expiratory flow never returns to zero before the next breath. The lung is not empty. Cut rate, shorten Ti, treat obstruction.

Obstruction

Scooped expiratory flow, long tail, high Rinsp, not-terrible Cstat. This is asthma/COPD/kinked tube — not ARDS.

Stiff lung

Square-ish pressure, small VT for the Pinsp, low Cstat, short time constant. Protective VT, moderate PEEP, don't stack.

Overdistension

P-V loop beak. Driving pressure climbing while VTE is already 8 mL/kg. You are done recruiting. Stop.

Leak / disconnect

Inspiratory flow doesn't match expiratory. VTE << VTI. Volume loop does not close.

Asynchrony

Negative pressure scoops, double-stacking, flow starving. Fix drive, Ti, ETS, or the mode — not the alarm limit.

Flow that never returns to zero is AutoPEEP. Drill it, then fly COPD.

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