1 rich Libsyn https://www.libsyn.com 90 600 A little over a year ago, I made a short reel discussing ventilating a patient in a severe metabolic acidosis. In the video, I mentioned that minimal to no PEEP&amp;nbsp;might be appropriate. Not because the patient doesn’t need PEEP, but because the shortened cycle time&amp;nbsp;at higher respiratory rates can unintentionally generate dynamic PEEP&amp;nbsp;on its own. But what if it was intentional? What if the presence of a wider pressure when the ventilator switches into exhalation would cause the air to exit more rapidly? In this podcast, I discuss my thought process with respiratory therapist extraordinare, Melody Bishop @melodybishop_rt. She helps surface some definitions and distinctions to terms like air-trapping, Set PEEP, &amp;amp; auto-PEEP while we discuss ventilation strategies in metabolic acidosis. The blog below was what I had sent her before the podcast to get all my thoughts &amp;amp; illustrations down in writing. As always, please follow your local guidelines, and I hope you enjoy listening to the conversation. &amp;nbsp; FOAMfrat Podcast http://www.foamfrat.com <iframe title="Libsyn Player" style="border: none" src="//html5-player.libsyn.com/embed/episode/id/37904875/height/90/theme/custom/thumbnail/yes/direction/forward/render-playlist/no/custom-color/88AA3C/" height="90" width="600" scrolling="no" allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen></iframe> https://assets.libsyn.com/secure/item/37904875