An infant is receiving pressure-targeted ventilation with a…
An infant is receiving pressure-targeted ventilation with a PIP of 20 cm H₂O and a PEEP of 5 cm H₂O. PEEP is increased to 7 cm H₂O while PIP remains 20 cm H₂O. Oxygenation improves, but exhaled VT falls. Which explanation is most accurate?
Read DetailsA ventilated infant has a pH of 7.24 and PaCO₂ of 65 mm Hg….
A ventilated infant has a pH of 7.24 and PaCO₂ of 65 mm Hg. Chest movement is adequate, but the infant has weak respiratory drive and is receiving too few supported breaths. Which ventilator adjustment most directly addresses the ventilation problem?
Read DetailsA spontaneously breathing preterm infant has increasing FiO₂…
A spontaneously breathing preterm infant has increasing FiO₂ needs, retractions, diminished symmetric air entry, and low lung volume on chest radiograph. CPAP delivery is verified. Which adjustment most directly addresses the underlying physiologic problem?
Read DetailsAn infant on CPAP continues to require increased FiO₂ and ha…
An infant on CPAP continues to require increased FiO₂ and has increased work of breathing after an appropriate CPAP adjustment. Interface position, patency, pressure delivery, and oxygen delivery are verified. Before further escalation of respiratory support, which action is most appropriate?
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