Can timed lung 'Recruitment' maneuvers protect Preemies' lungs?

This trial tests whether performing stepwise, oxygenation-guided lung recruitment maneuvers at regular intervals during high-frequency oscillatory ventilation (HFOV) can improve oxygen levels in extremely preterm infants born before 28 weeks of gestation. The study compares this regular approach to standard care, measuring the oxygen saturation index over up to seven days of ventilation. It also tracks outcomes like days on a ventilator and the development of bronchopulmonary dysplasia, a chronic lung condition common in premature babies.