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You are present at the birth of an infant with a large gastroschesis who is to be intubated and then taken to the OR to have a silo placed. Prior to intubation, the patient arrests. You note that you are in PEA. You have multiple providers present. Which of the following is correct?


a) 3:1 compression ventilation ratio

b) 15:2 compression ventilation ratio

c) 30:2 compression ventilation ratio

d) 8-10 breaths per minutes

e) 30:1 compression ventilation ratio

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Answer

Answer A.

In the newly-born infant, NRP guidelines apply and the compression to ventilation ratio is 3:1 in the absence of an endotracheal tube. After the infant is intubated, he should be ventilated at 8-10 breaths per minute with continuous CPR.

Notes


This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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