Care of the Extremely Low Birth Weight Infant

Question 1

Ventilation strategies in VLBW …..?

Answer 1

Low tidal volume, short inspiratory time, right positive end-expiratory pressure

Avoid hyperoxia and hypocapnia—volume-targeted ventilation

Early surfactant therapy as indicated and early caffeine

Define indications for high-frequency ventilation

Question 2

If this information is not known, gestational age estimates for appropriate-for-gestational-age (AGA) fetuses can be roughly converted as follows: …?

Answer 2

650 g = 24 weeks;
750 g = 25 weeks;
850 g = 26 weeks;
950 g = 27 weeks;
1,100 g = 28 weeks

Question 3

Currently, we inform them that resuscitation at birth has been technically feasible at gestational age as low as about….?

Answer 3

23 weeks and a birth weight as low as about 400 g

Question 4

the delivery room temperature has been set at ….?

Answer 4

26°C.

Question 5

it is recommended that resuscitation usually start with ….?

Answer 5

21% to 30%

Question 6

Birth Weight (g) 500–600 …?

Answer 6

Fluid Rate (mL/kg/day) : 110–120

Question 7

When to start insulin in ELNW ….?

Answer 7

If hyperglycemia persists at levels above 180 to 220 mg/dL with glycosuria, an insulin infusion at a dose of 0.05 to 0.1 unit/kg/hour