A neonate delivered at 32 weeks, is put on a ventilator, X-ray shows "white out lung" and ABG reveals PO2 of 75. Ventilator settings are FiO2 of 70, and rate of 50/ minute. Next step to be taken should be?
c. Continue ventilation with the same settings(Ref: Nelson's 20/e p 850-857, Ghai 8/e p 168-170)Given clinical features & X-ray findings suggest a diagnosis of RDS. With the given ventilator settings, baby is just maintaining adequate pO2 of 75mmHg. So, ventilation should be continued with same settings, till baby improves.
Increase rate to 60 per minute
Increase FiO2 to 80
Continue ventilation with the same settings
Start weaning off ventilator
New Born Infants