By Aleksandra Shalakhova, HBSc, 3rd year SRT Algonquin College
What happened so sudden?
A total whiteout-
Look at this ground glass lung!
Alveoli- collapsing
Surfactant- not lasting,
Heart is fine, and the patient is young.
Is it vape? Is it sepsis?
Did he aspirate this?
Maybe pancreas’ super inflamed?
P to F in two digits,
With compliance too rigid.
“Severe” – current state has been named.
High flow- not enough!
Let’s check on the cuff
And give it a hundred percent.
With two hands we are bagging
With Sats slightly lagging
The RT’s now set with the vent.
PEEP up- we recruit.
FiO2- we dilute.
Let’s try good old “Pressure Control”
A-line is placed in,
But pressures look grim.
Did we reach our oxygen goal?
We improve V/Q score-
Dorsal lungs we explore.
Let’s turn our patient to prone.
Patient’s flipped in the bed-
A long journey ahead.
It now should become better zone.
“Pum pum pum”- oscillator
Last resort ventilator;
The piston is moving so fast.
The lungs are protected,
And the MAP is perfected.
Fingers crossed that this picture will last.
The pH now looks better,
And the X-ray- less “wet”-ter.
The sats has been steady “nine-two”.
Getting ready to wean,
It’s the best he had been!
But there’re still many things we should do.
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