Treatments and protective strategies

Question 1

What are lung protective strategies (on mechanical ventilation)

Answer 1

• Low Vt and low PIPs
• Allow higher PaCO2 (permissive hypercapnia)
• Lower SpO2 goals (85-90) ->controversial tho

Question 2

What pH goals would fall under permissive hypercapnia?

Answer 2

pH 7.20 or 7.25

• as long as a acceptable pH is maintained = good

Question 3

How do you treat BPD? (3)

Answer 3

• Low protective strategies if ventilated
• iNO
• Lower oxygenation goals (risk of pphn)

Question 4

Treatments for TTNB?

Answer 4

Supportive care

• oxygen therapy < fiO2 0.4
• CPAP 3-5 w/higher fio2

Question 5

What should you consider if neonates rapidly deteriorate (suddenly)?

Answer 5

Air leak syndromes (i.e pneumothorax, emphysema etc.etc.)

Question 6

What are 4 management conditions for Cyanotic Heart Disease?

Answer 6

1. Dependent on keeping PDA open
2. Rule of 40 (pH,PaCO2,PaO2 @40)
3. Target SpO2 70-80
4. minimal suction and handling