12-26-2013, 09:58 AM
A 51 y/o man developed ARDS after pelvic fracture.On 3rd ICU day he is sedated, intubated and ventilated with positive end-expiratory pressure of 12 cm of water and an FiO2 of 0.6(60%).Suddenly his pulse increases from 100 to 140/min, sysytolic BP drops from 120 to 90 mmHg.Central venous pressure increases from 25 to 45 cm water.On auscultation, breath sounds are absent on the left side.The most likely explanation is ?
A-Endotracheal tube shift into the right main bronchus
B-pulmonary thromboembolism
C-Myocardial infaction
D-Tension pneumothorax
E-Mucous plugging and atelectasis in the right
A-Endotracheal tube shift into the right main bronchus
B-pulmonary thromboembolism
C-Myocardial infaction
D-Tension pneumothorax
E-Mucous plugging and atelectasis in the right