Resuscitation

ET tube placement with minimal bag mask/ventilation

Vascular access

Gut decompression by nasogastric tube

Ventilation objectives: pre-ductal SaO2 >85 % and pH >7.3 with PIP ≤25 cm H2O

Cardiopulmonary management

Ventilation

Conventional ventilation

Objective: pre-ductal SaO2 >85 % pH >7.3

PIP ≤25 cm H2O

High-frequency oscillatory ventilation (HFOV)

Objective: pre-ductal SaO 2 >85 %

MAP 14–16 cm H2O

Pulmonary vascular management

Cardiac echo

Exclude CHD

Assess RV function

Estimate PA pressure

Identify the ductus and assess shunting

Trial of inhaled nitric oxide for patients with increased RV pressure