A Flexible Bronchoscopy Has Been Ordered in a Child Undergoing

A flexible bronchoscopy has been ordered in a child undergoing mechanical ventilation for acute respiratory distress syndrome. After several events of desaturation and therapeutic recruitment maneuvers, the physician wants to rule out mucus plugging. What should the therapist suggest to avoid alveolar derecruitment in this patient?

A) Take the patient off and bag throughout the procedure.
B) Increase PEEP on the ventilator until the procedure is completed.
C) Use a PEEP-Keep TM adaptor.
D) Increase tidal volume to sustain lung recruitment during the procedure.