52-year-old male, day 3 in the ICU following elective CABG x 3. He remained ventilated with hypoxic respiratory failure. On examination he was obese, febrile, had high ETCO2, moderate PEEP and FiO2, reduced breath sounds at both bases. There were no focal neurological issues but he was heavily sedated. His chest x-ray showed bilateral infiltrates.
Candidates were asked to assess him with regards to the barriers weaning sedation and attempting extubation.