ABS Pediatric Surgery Practice Questions - ABS Pediatric Surgery Certifying Examination Exam

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A term newborn with prenatally diagnosed left congenital diaphragmatic hernia (CDH) is intubated in the delivery room. Which ventilation strategy is recommended per CDH Study Group (CDHSG) consensus?

Aggressive hyperventilation to PaCO2 < 30 mmHg Gentle ventilation with permissive hypercapnia (PaCO2 up to 60-65 mmHg) and preductal SpO2 85-95% High-frequency jet ventilation with tidal volumes of 10 mL/kg Immediate surfactant and delivery-room thoracotomy

Correct Answer:

Gentle ventilation with permissive hypercapnia (PaCO2 up to 60-65 mmHg) and preductal SpO2 85-95%

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