64 years old male who is a heavy smoker with COPD and laryngeal carcinoma, s/p tracheostomy. He is addmitted now to the ICU complaining of air hunger. When connected to the ventilator; it showed the waves you see and the patient felt suffocation. Unfortunately, this is the only screenshot that was provided by Dr. Abdulhaseeb Tarabulsi.
Knowing that this is not a ventilator malfunction or circuit disconnection, what do you thing is happening?
With this huge leak, I think tracheo-bronchial fistula is very likely and should be investigated