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Lung Protective Ventilation — RACP Paediatrics MCQ

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ModerateNeonatologyLung Protective VentilationRACP Paediatrics

A preterm infant is on mechanical ventilation. What ventilation strategy reduces BPD?

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Correct answer: A — Volume-targeted ventilation with permissive hypercapnia (target pCO2 45-55 mmHg)

Lung-protective ventilation in preterm infants: volume-targeted modes, permissive hypercapnia (accepting pCO2 45-55 mmHg), avoidance of volutrauma (excessive tidal volumes), and early extubation to CPAP. These strategies reduce ventilator-induced lung injury and BPD.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Mechanical Ventilation in Neonates