Unspecified hospital in Sydney

  • 65-year-old male, day 1 in the ICU, with acute hypoxic respiratory failure. His clinical findings included obesity, intubated ventilated, paralysed and sedated, low cardiac index on PiCCO, inotropic and vasopressor support, high FiO2 and PEEP. His bedside echo demonstrated globally reduced left ventricular function, his chest X-ray showed an endobronchial intubation with bilateral infiltrates.
  • Candidates were asked to assess the patient with regards to his initial management plan.