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Question of the Week

A 7-year-old, 25-kg boy with history of hypoplastic left heart syndrome who has been palliated with a Fontan procedure presents for laparoscopic appendectomy. Which of the following is the MOST appropriate ventilation strategy?

A.  Volume-controlled ventilation with VT 150 mL, RR 16, I:E 1:3, PEEP 5
B.  Volume-controlled ventilation with VT 250 mL, RR 22, I:E 1:2, PEEP 5
C.  Pressure-controlled ventilation with peak inspiratory pressure 20 cm H2O, RR 22, I:E 1:2, PEEP 5
D.  Pressure-controlled ventilation with peak inspiratory pressure 10 cm H2O, RR 16, I:E 1:3, PEEP 10

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Q&S Poll of the Month

December 2023
Your medical center has been notified that a critical 2-year-old is arriving to the trauma bay post-MVC. Intubation has not been attempted in the field. In your practice, in the Emergency Department (ED) trauma bay, who is most likely to manage the initial attempt(s) at endotracheal intubation if indicated:

 

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Upcoming Meeting Information

SPA-AAP Pediatric Anesthesiology 2024April 12-14, 2024
Anaheim Marriott
Anaheim, CA

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Registration – early rates available through March 22, 2024
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