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Chapter 22 - Congenital Diaphragmatic Hernia

Published online by Cambridge University Press:  30 November 2019

By
Titilopemi A.O. Aina
Edited by
Adam C. Adler ,
Arvind Chandrakantan  and
Ronald S. Litman
Adam C. Adler
Affiliation:
Texas Children's Hospital
Arvind Chandrakantan
Affiliation:
Texas Children's Hospital
Ronald S. Litman
Affiliation:
The Children's Hospital of Philadelphia
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Summary

In this chapter, the critical topic of congenital diaphragmatic hernia is reviewed. The diagnosis and pathophysiology are discussed in relation to organ systems effected and prognostic factors. The author covers the prenatal diagnostic evaluations as well as fetal interventions. The anesthetic implications and management of these patients if examined in detail from ventilatory goals to ECMO.

Keywords

Congenital Diaphragmatic Herniapulmonary hypoplasiapulmonary hypertensionlung-to-head ratiopercent predicted lung volumeBochdalekMorgagniGentile ventilation and permissive hypercapnia
Type
Chapter
Information
Case Studies in Pediatric Anesthesia , pp. 100 - 103
Publisher: Cambridge University Press
Print publication year: 2019

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References

Suggested Reading

Barnewolt, CE, Kunisaki, SM, Fauza, DO, et al. Percent predicted lung volumes as measured on fetal magnetic resonance imaging: a useful biometric parameter for risk stratification in congenital diaphragmatic hernia. J Pediatr Surg. 2007;42(1):193–7. PMID: 17208564.CrossRefGoogle ScholarPubMed
Guner, YS, Khemani, RG, Qureshi, FG, et al. Outcome analysis of neonates with congenital diaphragmatic hernia treated with venovenous vs venoarterial extracorporeal membrane oxygenation. J Pediatr Surg. 2009;44:1691–1701. PMID: 19735810.CrossRefGoogle ScholarPubMed
Hedrick, H. Management of prenatally diagnosed congenital diaphragmatic hernia. Semin Pediatr Surg. 2013;22(1):37–43. PMID: 23395144.CrossRefGoogle ScholarPubMed
Haroon, J, Chamberlain, RS. An evidence-based review of the current treatment of congenital diaphragmatic hernia. Clin Pediatr 2013;52(2):115–24. PMID: 23378478.CrossRefGoogle ScholarPubMed
Harrison, MR, Keller, RL, Hawgood, SB, et al. A randomized trial of fetal endoscopic tracheal occlusion for severe fetal congenital diaphragmatic hernia. N Engl J Med. 2003;349(20):1916–24. PMID: 14614166.CrossRefGoogle ScholarPubMed
Keijzer, R, Wilschut, DE, Jan Houmes, R, et al. Congenital diaphragmatic hernia: to repair on or off extracorporeal membrane oxygenation? J Pediatr Surg. 2012;47(4):631–6. PMID: 22498373.CrossRefGoogle ScholarPubMed
Morini, F, Goldman, A, Pierro, A. Extracorporeal membrane oxygenation in infants with congenital diaphragmatic hernia: a systematic review of the evidence. Eur J Pediatr Surg. 2006;16:385–91. PMID: 17211783.CrossRefGoogle ScholarPubMed
Snoek, KG, Reiss, IKM, Greenough, A, et al. Standardized postnatal management of infants with congenital diaphragmatic hernia in Europe: The CDH EURO Consortium Consensus – 2015 Update. Neonatology. 2016;110: 66–74. PMID: 29283134.CrossRefGoogle Scholar

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