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PedsCrit

Congenital Diaphragmatic Hernia with Dr. Yigit Guner & Dr. Amir Ashrafi -- Part 2 of 3

Mar 18, 2024
Exploring delivery room procedures, ECMO transition decisions for neonates with congenital diaphragmatic hernia. Optimizing care in the NICU with blood gas analysis, ventilation strategies, and hemodynamic resuscitation. Managing pulmonary vascular resistance with pulmonary vasodilators. Navigating ECMO cannulation decision and surgical repair. Team approach and ECMO considerations for CDH patients.
32:34

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Quick takeaways

  • Swift intervention with intubation post-delivery optimizes breathing support for CDH babies.
  • Gas exchange goals in NICUs prioritize parameters like PCO2 levels and employ tidal volume ventilation techniques.

Deep dives

Approaching High-Risk Deliveries for CDH Patients

In managing deliveries of babies with congenital diaphragmatic hernia (CDH), the focus is on swift intervention post-delivery. A key immediate step involves intubating the baby to prevent air ingestion, which can further impede lung function. It's crucial to establish functional residual capacity (FRC) and relieve any stomach pressure by inserting an NG tube. This meticulous approach aims to optimize breathing support during the critical early moments in the delivery room.

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