A 5-day-old, 3.4 kg, full-term infant with a prenatally diagnosed left-sided congenital diaphragmatic hernia (CDH) presents to the operating room for CDH repair. An arterial blood gas (ABG) on arrival to the OR shows a pH of 7.29, PaO2 of 85 mmHg, and PaCO2 of 64 mmHg. Ventilator settings are pressure control ventilation with peak inspiratory pressure (PIP) of 22 cmH2O, positive end-expiratory pressure (PEEP) of 5 cmH2O, fraction of inspired oxygen (FiO2) of 0.55, and respiratory rate of 60. These settings are delivering tidal volumes of 15 mL. Which of the following is the MOST appropriate next course of action for this patient’s ventilatory settings?
Correct!
Wrong!
Question of the Week #192
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