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This document discusses the case of a 695g neonate with respiratory distress syndrome on ventilatory support. The baby has a PaCO2 of 55 mmHg, which is 35% higher than normal. This indicates compromised alveolar ventilation. Options to address this include reducing the peak inspiratory pressure or positive end-expiratory pressure through a dual wean approach. A dual wean reducing both pressures equally may prevent a rise in PaCO2 and allow for permissive hypercapnia, optimizing lung volume without overdiste

Author

temisedwin

Language

EN