A preterm neonate is being supported with nasal SiPAP.The baseline CPAP level is set at 6 cm H₂O,the high CPAP level at 10 cm H₂O,the rate is 20 "sigh" breaths,and the F_IO₂ is 0.8.The baby's PaO₂ on these settings has been steadily declining and is now 48 mm Hg.The physician and respiratory therapist decided to use nasal HFV before intubating and using mechanical ventilation.The initial settings for NHFV for this patient should include which of the following?

Question

Quizplus · Accepted Answer

The initial mean airway pressure for nasal HFV usually is set to equal the previous level of CPAP,with a frequency of 10 Hz.Because the nasal SiPAP baseline level was set at 6 cm H₂O,the NHFV should be set at that level.The only option with those two set parameters includes the F_IO₂ of 1.0,which should be titrated down when oxygenation improves.

A Preterm Neonate Is Being Supported with Nasal SiPAP