Hiccup patient-ventilator asynchrony

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Had a fully sedated COVID-patient getting totally out of sync with the ventilator today. After checking all the settings and tubings, the nurse finally made me notice that the patient had spastic diaphragmatic contractions. After a dose of Metoclopramide and changing the orogastric tube from a Salem to a Freka, it went away.

Note to future self: Maybe try a valsalva manoeuvre with the vent?


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