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  • if PaO2 and pH are within normal limits and PaO2 is about 100 mm but only w/ a high FiO2 or on therapeutic levels of PEEP, pt should be left to breath spontaneously with therapeutic PEEP;
  • this is termed CPAP: continuous positive airway pressure;
  • as arterial oxygenation improves, PEEP can be reduced in small steps, sequentially following the arterial oxygenation tension;
  • when the PEEP level reaches 5 cm H2O, the possibility of extubation may be entertained