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Managing Critically Ill Neonatal Patients- Ventilation of ELBW Infants

ELBW Challenges in Ventilation of Extremely Low Birth Weight (ELBW) Infants: Managing critically ill neonatal patients using various ventilation practices- The World Health Organization and the March of Dimes estimate that 15 million infants are born premature each year, accounting for 1 in 10 babies born worldwide. Many of these infants will develop Respiratory Distress Syndrome (RDS) and other complications that require increased respiratory support. Studies have evaluated early antenatal corticosteroids and surfactant replacement therapy, individualized intubation strategies and lung protective strategies. To reduce the risk of chronic lung disease from repetitive atelectrauma, volutrauma and oxygen toxicity, clinicians have developed lung-protective strategies. These include noninvasive continuous airway pressure (CPAP), advanced modes of conventional mechanical ventilation—both volume targeting and optimizing positive end expiratory pressure (PEEP)—and an open lung concept with high frequency ventilation. Reviews ventilation challenges with extremely low birth weight (ELBW) infants. Current ventilation practices, devices and review of the literature. Clinical cases and management of ELBW infants.

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