A 62-year-old male patient has been receiving conventional mechanical ventilation for 4 days. Current pressure control CMV ventilator settings: Inspiratory pressure 38 cmH2O, PEEP 18 cmH2O, FiO2 0.85. Exhaled tidal volumes average 8 mL/kg. Current assessment findings: Mean airway pressure: 28 cmH2O, SpO2 86%. What ventilator changes would you suggest?
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