TEMI Adulto (AMIB AMB) Practice Questions - TEMI - Título De Especialista Em Medicina Intensiva - Área Adulto (AMIB AMB) Exam

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A 62-year-old intubated patient with septic shock is mechanically ventilated in volume-controlled mode (tidal volume 8 mL/kg predicted body weight, PEEP 10 cmH2O, zero spontaneous respiratory efforts). Arterial line analysis reveals a Pulse Pressure Variation (PPV) of 16%. Which condition is a mandatory physiological prerequisite for PPV to accurately predict fluid responsiveness?

Absence of spontaneous breathing efforts and regular sinus rhythm without significant cardiac arrhythmias. Spontaneous breathing triggering with pressure support ventilation (PSV) below 10 cmH2O. Presence of moderate-to-severe right ventricular failure with pulmonary hypertension. Tidal volume set between 4 and 6 mL/kg of predicted body weight with active patient triggering.

Correct Answer:

Absence of spontaneous breathing efforts and regular sinus rhythm without significant cardiac arrhythmias.

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