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Problem: The patient experiences an abrupt deterioration with a drop in
oxygen saturation.
Consider the following:
•
Airway patency
•
Changes in mean arterial pressure
•
Disconnection from the HFOV device with loss of lung volume
•
Possible pneumothorax
Responses under these circumstances:
•
Consider fluid boluses and/or pharmacologic support to maintain mean arterial
pressure of 75 mmHg or greater
•
Re-check the x-ray to assess or rule out presence of pneumothoraces
•
For an accidental disconnect, consider a recruitment maneuver and/or increase
FiO
initially
2
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