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http://www.wonepedu.com/CDH_GuidelineVersion6.pdf
Where delivery of a baby with a CDH is suspected preparation of a bed space on the neonatal unit with the appropriate ventilator and delivery of Nitric Oxide must be considered prior to delivery if time allows. If HFOV is needed the Sensormedics oscillator is preferred for full term babies…
https://www.chop.edu/events/management-congenital-diaphragmatic-hernia-cdh
The intent is to improve learners’ knowledge and performance through adoption of consistent prenatal assessment standards and neonatal protocols; enhance learners’ competence in prenatal counseling by incorporating recently published outcomes for children with congenital diaphragmatic hernia; and improve patient outcomes by providing learners’ with pertinent criteria to determine the appropriate location for delivery and postnatal care.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4688266/
May 30, 2015 · Congenital diaphragmatic hernia (CDH) is a developmental defect in the diaphragm which occurs in approximately 1 in 3000 live births . Although advances in medical and surgical management have improved outlook, survival of CDH infants remains at 60–70 % . Lung hypoplasia and pulmonary hypertension are key factors which contribute to the morbidity and mortality …Author: Vasanth H. S. Kumar
https://www.choc.org/wp/wp-content/uploads/careguidelines/chd-care-guideline-with-extended-version-and-pfe.pdf
The diaphragm is a muscle the separates the chest from the abdomen. A congenital diaphragmatic hernia (CDH) happens when this muscle does not close. This allows the organs from the abdomen to move into the chest through this hole. This defect occurs when the baby is developing before birth.
https://www.walesdeanery.org/sites/default/files/Congenital%20diaphragmatic%20hernia_management.pdf
Management of congenital diaphragmatic hernia David J Wilkinson Paul D Losty Abstract Congenital diaphragmatic hernia (CDH) is associated with high mortality ... (Newborn management) Delivery ... ‘Gentle’ Ventilation A major advance in the management of CDH in the last 20 years has been the introduction of ‘gentle
https://fn.bmj.com/content/early/2020/03/13/archdischild-2019-318606
Mar 13, 2020 · Congenital diaphragmatic hernia (CDH) is associated with high mortality rates and significant pulmonary morbidity, mainly due to disrupted lung development related to herniation of abdominal organs into the chest. ... Respiratory support is a major topic in delivery room management for CDH infants, however, it is a double-edged sword as the ...Author: Emily J J Horn-Oudshoorn, Ronny Knol, Arjan B Te Pas, Stuart B Hooper, Stuart B Hooper, Suzan C M Co...
https://www.chop.edu/conditions-diseases/congenital-diaphragmatic-hernia-cdh
Congenital diaphragmatic hernia repair Surgical repair of CDH after delivery depends on your individual baby’s progress in the days following birth. The multidisciplinary team, led by your baby’s pediatric surgeon and neonatologist, will determine the timing of repairing the defect in the diaphragm.
https://emedicine.medscape.com/article/978118-treatment
Apr 25, 2014 · In the delivery room, if the infant is known or suspected to have congenital diaphragmatic hernia, immediately place a vented orogastric tube and connect it to continuous suction to prevent bowel distension and further lung compression. For the same reason, avoid mask ventilation and immediately intubate the trachea.
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