Actions Begin with intermittent mandatory ventilation Evidence inadequate for elective high frequency oscillation and there is a risk of intraventricular hemorrhage or Pvl Patient triggered modes are an option, but not necessary for the current clinical situation IMV settings PIP-to move chest(usually 15-25 cm H20) PEEP-4 to 6 cm H20(never less in RDS. Rate-40 to 60 breaths per minute Ti(inspiratory time)-04 to 0.5 seconds Oxygen-to maintain Sao2 88-92%Actions: – Begin with intermittent mandatory ventilation • Evidence inadequate for elective high frequency oscillation and there is a risk of intraventricular hemorrhage or PVL • Patient triggered modes are an option, but not necessary for the current clinical situation – IMV settings: • PIP – to move chest (usually 15 – 25 cm H2O) • PEEP – 4 to 6 cm H2O (never less in RDS!) • Rate – 40 to 60 breaths per minute • Ti (inspiratory time) – 0.4 to 0.5 seconds • Oxygen – to maintain SaO2 88 – 92 %