A 24 week gestation infant was admitted to your NICU. The i…

 A 24 week gestation infant was admitted to your NICU. The infant was intubated and given surfactant. At 48 hours of life, the infant is on conventional ventilation with high ventilator settings. CXR shows hyperinflation with multiple irregular air-filled linear cysts on the periphery. What is your diagnosis based on this information?

You are called to the bedside to assess a rapid decompensati…

You are called to the bedside to assess a rapid decompensation in a 2 day old infant who is 28 weeks CGA. He is still intubated and has had a recent episode of bradycardia, his is hypotensive, and the vent is alarming a high leak. You ask the RN to suction and when she does bright red blood comes up the ETT. What is your initial intervention?