A patient with COPD is receiving NIV with a noninvasive ventilator using a full-face mask. The…

A patient with COPD is receiving NIV with a noninvasive
ventilator using a full-face mask. The ventilator settings are as follows: PSV
mode, peak pressure 14 cm H2O, PEEP 4 cm H2O, backup rate
10 breaths/min. Arterial blood gas was obtained after 30 minutes on NIV. PaCO2
was 75 mm Hg, essentially unchanged since NIV was initiated. The RT notices
that the ventilator is not triggering with every patient effort, and his
respiratory distress has not improved. What should the RT do?

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