PMC7168762_01
Chest radiograph on admission.
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fig1
Initial chest radiograph on admission showed diffuse bilateral interstitial opacities consistent with acute respiratory distress syndrome (Fig. 1).
Bilateral diffuse opacities with decreased lung volumes.
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fig2
The patient continued to deteriorate despite prone positioning and paralysis with worsening chest x-ray (Fig. 2).
Distal esophageal balloon large white arrow.
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fig3
Optimal positioning of the esophageal balloon is also shown in Fig. 3.
Trends of PL and PLexp over time in relation to the position of the patient.
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Fig. 4 Depicts the relationship between the PL and PLexp with time and in respect to patient positioning and notably PL is lower in prone position when compared to supine.
Trend of PEEP titration in relation to PLexp.
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fig5
As shown in Fig. 5, PLexp guided us in achieving the optimal PEEP e.g.