Exam Preview for 2368: An RT Overview of the Revised PARDS Guidelin

An RT Overview of the Revised PARDS Guidelines from PALICC II

Please note: exam questions are subject to change.

1. In the development of the 2023 PALICC 2 guidelines, which sources were used to form the recommendations for Pediatric Acute Respiratory Distress Syndrome (PARDS)? Adult randomized controlled trials, pediatric studies, and meta-analyses Exclusive reliance on observational studies in children under one year of age Primarily neonatal and perinatal studies to address pediatric needs Only pediatric studies to tailor recommendations specifically to children
2. According to the PALICC II guidelines, what starting tidal volume range is recommended for patients with PARDS? 6-8 mL/kg 7–9 mL/kg 8–10 mL/kg 11–12 mL/kg
3. What does the PARDS guideline recommend when adjusting PEEP levels to prevent lung injury? PEEP levels should be reduced to the lowest possible setting regardless of plateau pressure PEEP should be increased without monitoring plateau pressure limits Adjustments in PEEP must ensure plateau and driving pressures do not exceed recommended limits PEEP adjustments should only consider oxygen saturation, not pressure limits
4. In the revised guidelines, what is the time frame recommended for assessing clinical improvement before deciding on intubation in patients on non-invasive ventilation (NIV) with severe PARDS? 30 minutes 1–2 hours 4–6 hours 24 hours
5. In the management of PARDS, what factor associated with Patient Self-Inflicted Lung Injury (P-SILI) can increase the risk of lung injury during spontaneous breathing? High levels of PEEP creating low lung compliance Large swings in transpulmonary pressure caused by intense respiratory effort Constant use of neuromuscular blockers to control spontaneous breathing High oxygen delivery without monitoring work of breathing (WOB)