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Ventilator pattern lesson

Separate resistance from compliance — case discussion

Fictional cue set: Measure plateau pressure during a valid inspiratory hold, then choose the branch.

Peak pressurePressure required to deliver flow through the circuit, tube, airways, and respiratory system.Plateau pressureStatic pressure measured when inspiratory flow is zero.High resistance branchPIP rises while Pplat is near baseline or much less elevated.Low compliance branchPIP and Pplat both rise.Overdistension branchHigh plateau/driving pressure or beaking on the P-V loop.

Evidence and use limits

Last reviewed: 2026-07-17. Designed for: emergency medicine learners, clinicians, EMS, RT, and airway educators.

This fictional ventilator discussion supports pattern-recognition teaching. It does not select settings or recommend a time-critical action. Verify current evidence, equipment instructions, and local policy before clinical application.

Full references · Editorial policy · AARC 2024 ventilator assessment · ATS/ESICM/SCCM lung-protective ventilation · ATS 2024 ARDS update

About this resource
Created by: Andrew Pirotte, MD; Kyle Brown, MD; Reba Hodge, MD; Amanda Vanderwerf, PharmD, BCEMP; Morgan Kimball, PharmD, BCEMP; Joshua Mohess Clinical review: Emergency medicine faculty review completed. Medication content reviewed by Amanda Vanderwerf, PharmD, BCEMP, and Morgan Kimball, PharmD, BCEMP. Last source review: 2026-08-06 Next scheduled review: 2027-02-06 Designed for: EM residents, emergency physicians, EMS clinicians, airway educators, and simulation faculty Important: Education and source review only; no patient-specific or time-critical recommendations. Independently verify current evidence and local policy. Website contact: kybrown@kumc.edu