Tofranil (imipramine): 1  Is generally used in children older than 6 years. 2  Has a success rate of 10 to 50 percent. 3  Starts working in a few days. 4  Is relatively inexpensive. 5  Will likely stop working when the child stops taking the medication.
The plateau pressure is the pressure applied (in positive pressure ventilation) to the small airways and alveoli. It is believed that control of the plateau pressure is important, as excessive stretch of alveoli has been implicated as the cause of ventilator induced lung injury.
1. Ventilate the patient w/ volume ventilation at desired TV level and obtain the Plateau pressure. Switch to Pressure ventilation and use a set inspiratory pressure that is equal to the measured plateau pressure. 2. Start with a low PIP (10-15) and observe TV measurement.