What initial ventilator setting(s) would be recommended for a newborn with a CDH?
1) PEEP of 5 to 8 cm H₂O
2) FIO₂ of 1.0
3) Peak inspiratory pressure of <30 cm H₂O
4) Respiratory rate of 40 to 50 breaths/min

Question

Quizplus · Accepted Answer

For a newborn with Congenital Diaphragmatic Hernia (CDH), gentle ventilation strategies are recommended to minimize lung injury. This includes using a PEEP of 5 to 8 cm H2O to prevent alveolar collapse, a FiO2 of 1.0 initially to ensure adequate oxygenation (which can be adjusted based on blood gas results), and keeping the peak inspiratory pressure <30 cm H2O to reduce the risk of barotrauma.

What Initial Ventilator Setting(s) Would Be Recommended for a Newborn