Articles written by Toni Manougian

From Flat Earth to Round: Rethinking Ventilation with Time-Controlled Adaptive Ventilation (TCAV)

“During the COVID-19 pandemic, I faced some of the most challenging cases of my career—patients with profound hypoxemia and lungs so stiff they seemed impossible to ventilate. Despite adhering to low tidal volume (LVt) protocols (i.e., ARDS Net), I found myself losing ground. So I challenged my beliefs, searched for new information, and listened to colleagues willing to share different ideas.”