This intubated patient was suffering from acute pancreatitis complicated by ARDS. What do the waveforms show us?
The esophageal pressure is higher than PEEP at the end of expiration, which indicates the end-expiratory transpulmonary pressure is negative. There is a risk of atelectrauma due to the repeated opening and closing of the distal airway at each breath. In this case, consider increasing PEEP to stabilize the alveoli.
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