Re: CALS Roll call
Auto,
I don't know the background of why he's on O2, but as you know, that contributes to CO2 buildup in ALS and is most often used near death.
I doubt that breathing in more O2, which is what's happening when the tidal volume target is increased, is going to help sustain him over the long term. I would be gradually reducing the volume and d/c'ing the oxygen to see if he could stay comfortable that way, if he was not in discomfort and largely interested in life, prior to these episodes' beginning. If he has minimal breath sounds, forcing deeper breaths seems counterintuitive since the lungs have to work harder to accommodate a higher volume.
If he is actively dying in other respects (nutrition, etc.), then of course disregard this. I guess it is not clear to me how things were before these episodes began.
Best,
Laurie