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- Slide 1: Made possible by | Cincinnati Children's changing the outcome together | True or False | STARTING CDH BABIES ON A SCHEDULED SEDATION DRIP USES MORE SEDATION OVERALL THAN PRN DOSING. | TRUE | FALSE | Make your call, then swipe. | Swipe right
- Slide 2: ...uses more sedation overall than PRN dosing. | False | It's the opposite — total sedation plummeted. | When Cincinnati Children's switched from PRN to scheduled drips, overall sedation use dropped. | Paul Kingma, MD, PhD | Director, Bronchopulmonary Dysplasia (BPD) Center, Cincinnati Children's | Swipe right
- Slide 3: WHY IT WORKS: | Two approaches, two different outcomes. | OLD: PRN | Wait until baby shows distress → react. | Each crisis triggers a bigger dose to catch up. | NEW: SCHEDULED DRIP | Start sedation early & predictably. | Catch the baby before crisis — no chase needed. | The PRN trap: reactive dosing creates an escalating cycle — each crisis dose is bigger than the last. Early standardized capture breaks the cycle. | Swipe right
- Slide 4: THE PRINCIPLE: | Stable upfront > reactive throughout. | Capturing CDH babies early with predictable dosing uses less total sedation than chasing crises with PRN. | Part of Cincinnati Children's broader protocol overhaul — the same shift that took survival from 70% to 80%. | Standardize early. Don't chase late.
True or False: Scheduled Sedation in CDH Babies
Topic overview
Educational carousel addressing sedation protocols for neonates with congenital diaphragmatic hernia following fetal intervention. Explores evidence-based practices in CDH postoperative management and neonatal intensive care strategies.
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