Tip 184: permissive hypercapnia

By tolerating higher pCO2 levels in the first few weeks of life for preterm infants, there is a reduction in the time on mechanical ventilation and its associated volutrauma and barotrauma. The long terms effects are still unknown.

Widely accepted protocols are in place, accepting pH down to 7.22 in the first 5 days of life, and 7.20 thereafter.

Reference: Sweet, D. G., Carnielli, V., Greisen, G., Hallman, M., Ozek, E., Plavka, R., … & Halliday, H. L. (2013). European consensus guidelines on the management of neonatal respiratory distress syndrome in preterm infants-2013 update.Neonatology103(4), 353-368.

Previously published: 28/10/14

Advertisements
This entry was posted in Prematurity, Respiratory. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s