Hello takshafat,
usually the PPHN are the big infants full term meconium asp. we immediatly put them on HFJO...on Fent. and Versed drips, and the paralizing drug as needed to keep from moving. on 100percent O2 ... ususaly Dop. and Dob. drips to maintain the blood Pressure. keep the Ph greater than 7.35 and O2 around 100. with minumal touch, sound light. and then slowly wean the Ventilator settings very slowly until down to normal. then wean the narcotics slowly...if this is unmanagable PPHN we sometimes put the infants on ECHMO. then we keep the infants awake on ECHMO.
this is what i remember ...Our Unit Protocol was.
Sister Gabrielia
NICU RNC
Long Beach Memorial Med Center CA, USA