Patients with need for minute ventilation beyond this will just overbreathe the vent, which the vent will allow for anyway. Anything I’m missing?

Hmmm I don’t think I agree with this. Patients with significant metabolic acidosis are often breathing very inefficiently (high RR with low TV), so when you take control of the TV with a ventilator, shouldn’t your RR essentially be normal to slightly high?

I’ll go with “So Good They Can’t Ignore You” by Cal Newport