Q:

A thaw-old fullterm baby delivered to a mother with gestational diabetes by CS

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A thaw-old fullterm baby delivered to a mother with gestational diabetes by CS, he developed an increasing respiratory distress and grunting with blood gases values indicative of respiratory failure. Of the following, the BEST mode to be used in mechanical ventilation is


  1. intermittent mechanical ventilation (NV)
  2. synchronized intermittent mechanical ventilation (SIMV)
  3. synchronized intermittent positive pressure ventilation (SIPPV)
  4. pressure-regulated volume control (PRVC)
  5. pressure support ventilation (PSV)

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(D). lMV is not the choice because you need to paralyze the patient; options 8 and C both are good choice as they provide synchrony with the patient and can achieve the goal of ventilation by either controlling the pressure or volume values but in presence the option D in your ventilator, making it the best because it will reduces both baro and volutrauma.

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