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Mechanical Ventilation Weaning in Pediatric Patients

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1.  For children with a higher risk of extubation failure, what ventilator mode is recommended during an SBT to allow for a better assessment of extubation readiness?
  1. Using BiPAP/ Bi-Level
  2. Using CPAP without PS augmentation
  3. Using high frequency Ventilation
  4. Using airway pressure release ventilation
2.  Which of the following are predictors for high-risk extubation failure?
  1. Neurologic impairment
  2. Prolonged invasive mechanical ventilation (greater than 14 days)
  3. Myocardial dysfunction
  4. All of the above
3.  Which systemic corticosteroid is suggested for use at least q6 hours before extubation in children with a high risk of post-extubation complications?
  1. Dexamethasone
  2. Budesonide
  3. Fluticasone propionate
  4. Mometasone furoate
4.  Children under one year of age, receiving oxygen after extubation, and developing respiratory distress will need which type of noninvasive support?
  1. CPAP (Continuous positive airway pressure)
  2. HFNC (high flow nasal cannula)
  3. HJV (High frequency jet ventilation)
  4. HFOV (High flow oscillatory ventilation)
5.  Which of the following is an assessment criterion for readiness to wean?
  1. PEEP less than or equal to 5 cmH20
  2. NIF less than or equal to 10 cmH20
  3. Spontaneous tidal volume less than or equal to 10 ml/kg
  4. Vital capacity less than or equal to 5 ml/kg

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