Pediatric Mechanical Ventilation II

Question 1

What are non-invasive ventilation options for PEDs?

Answer 1

HHFNC
CPAP
BiPAP

Question 2

What are the objectives of NIV?

Answer 2

Decrease WOB
Improve gas exchange

Question 3

What device is most commonly used for pediatric respiratory distress?

Answer 3

HHFNC

Question 4

How do you determine HHFNC flow requirement in pediatric patients?

Answer 4

Flow = weight x 2
Up to 30 Liters in floor care

Question 5

What FiO2 should HHFNC be initiated at?

Answer 5

50%

Question 6

What are indications for non invasive ventilation?

Answer 6

Treatment of impending respiratory failure
Pulmonary disease
neuromuscular disease
airway obstruction
infection process
Post extubation

Question 7

What are the challenges associated with NIV?

Answer 7

Tolerance of interface
Asynchronized breath
Leaks
Skin integrity
gastric distention
Sedation

Question 8

What should your initial level of CPAP be set to in pediatrics?

Answer 8

4-6

Question 9

Describe the clinical presentation of ARDS in pediatrics

Answer 9

hypoxemia
tachypnea
labored breathing
diminished breath sounds

Question 10

What should the MAP be kept below in pediatric ARDS patients?

Answer 10

30

Question 11

What tidal volume should pediatric ARDS patients be recieving?

Answer 11

5-8 ml/kg

Question 12

What pH is acceptable in pediatric ARDS patients?

Answer 12

Permissive hypercapnia is acceptable, pH of 7.25 or greater

Question 13

how do you calculate oxygen index?

Answer 13

OI = (MAP x FiO2) / PaO2