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March 15, 2024

A former 29-week premie, now 9-month old requires tracheostomy placement for night-time positive pressure

A former 29-week premie, now 9-month old requires tracheostomy placement for night-time positive pressure ventilation until he outgrows his tracheobronchomalacia. During the immediate post-op period, the patient has hypoxic episodes consistent with pulmonary hypertension. What is the best treatment strategy will to improve oxygenation and stabilize pulmonary hyper-reactivity? A former 29-week premie, now 9-month old requires tracheostomy placement for night-time positive pressure ventilation until he outgrows his tracheobronchomalacia. During the immediate post-op period, the patient has hypoxic episodes consistent with pulmonary hypertension. What is the best treatment strategy will to improve oxygenation and stabilize pulmonary hyper-reactivity? Hypoventilation with low tidal-volume, low respiratory rate strategy Decrease FiO2 and increase PEEP Start Milrinone infusion (no bolus) Inhaled nitric oxide Question at position 25 25

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