You are assigned to the neonatal intensive care unit (NICU) and have successfully intubated a…

  You are assigned to the neonatal intensive care unit
(NICU) and have successfully intubated a newborn term infant diagnosed with
respiratory distress syndrome. You are manually ventilating the infant with a
flow-inflating bag at a frequency of 25 breaths per minute. An inline manometer
indicates the PIP is approximately 24 cm H2O and the PEEP is 4 cm H2O.
The infant’s vital signs (heart rate, respiratory rate, and blood pressure) are
within normal limits and Spo2 is 95%. The pressure and frequency you
are using manually will serve as the initial ventilator settings on an infant
ventilator. With this particular ventilator, however, setting the inspiratory
and expiratory times determines the frequency. The attending physician has
requested an inspiratory time (TI) of 0.3 seconds. Calculate the
expiratory time (TE) necessary to give the desired frequency.

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