Problem:
On day #9 of hospital admission in the ICU for respiratory failure secondary to non-COVID pneumonia, the patient remains on pressure support ventilation of 15 cm H2O, PEEP 10 cm H2O, FiO2 50%, respiratory rate 10 to 16 breaths per minute with Vt 400mL and oxygen saturation 94%. The patient has completed a 7-day treatment for pneumonia. As the ICU provider, you are trying to reduce the ventilator settings to start spontaneous breathing trials, but once the settings are changed, the patient's Vt decrease has increased respirations, and she becomes hypoxic. Describe the management on day #9 for this patient through a comprehensive care plan.