When should a therapist consider intubation and mechanical ventilation for a newborn with respiratory distress?
I. Oxygen saturation less than 85% at FiO₂ $\ge$ 40% on CPAP
II. Periodic apnea
III. PaCO₂ of 60 mm Hg or higher
IV. pH <7.20

Question

When should a therapist consider intubation and mechanical ventilation for a newborn with respiratory distress?
I. Oxygen saturation less than 85% at FiO₂

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40% on CPAP
II. Periodic apnea
III. PaCO₂ of 60 mm Hg or higher
IV. pH <7.20

Quizplus · Accepted Answer

Typical indications for endotracheal intubation and mechanical ventilation are infants with respiratory failure or persistent apnea. Reasonable measures of respiratory failure are (1) arterial blood pH less than 7.20-7.25, (2) PaCO₂ of 60 mm Hg or higher, (3) oxygen saturation less than 85% at FiO₂$\ge$40% on CPAP, and (4) persistent apnea.

When Should a Therapist Consider Intubation and Mechanical Ventilation for a Newborn