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7. Initial FiO
at transition to HFOV should be set to 1.0. Alternatively, increase
2
current FiO
by 10%.
2
8. As oxygenation improves, gradually wean FiO
reduce mP
aw
cmH
O range.
2
9. When the above goal is met (but no sooner than 24 hours), switch to
PCV or APRV.
Initial settings:
•
PIP titrated to achieve delivered Vt of 6 to 8 mL/kg
•
Plateau Pressure (Pplat): < 35 cmH
•
I:E of 1:1
•
PEEP: 12 cmH
•
Rate: 20 to 25 / min
•
Mean airway pressure should be about 20 cmH
2 to 3 cmH
O every four to six hours until mP
2
O
2
to 0.40, and then slowly
2
O
2
O (± 2 cmH
2
15
is in a 22 to 24
aw
O).
2
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