TY - JOUR
T1 - Congenital diaphragmatic hernia
T2 - Survival treated with very delayed surgery, spontaneous respiration, and no chest tube
AU - Wung, J. T.
AU - Sahni, R.
AU - Moffitt, S. T.
AU - Lipsitz, E.
AU - Stolar, C. J.H.
N1 - Funding Information:
From the Divisions of Pediatric Surgery and Neonatology, Columbia University, College of Physicians and Surgeons, and Babies and Children's Hospital of New York, Columbia-Presbyterian Medical Center, New York, NY. Presented at the 41st Annual International Congress of the British Association of Paediatric Surgeons, Rotterdam, The Netherlands, June 29-July 1, 1994. Supported by The Anya Fund and The Charles Edison Fund. Address reprint requests to Charles J.H. Stolar, MD, Babies' and Children's Hospital of New York, Room 212 North, 3959 Broadway, New York, NY lO032. Copyright © 1995 by W.B. Saunders Company 0022-3468/95/3003-0007503.00/0
PY - 1995/3
Y1 - 1995/3
N2 - This report suggests that stabilization of the intrauterine to extrauterine transitional circulation combined with a respiratory care strategy that avoids pulmonary overdistension, takes advantage of inherent biological cardiorespiratory mechanics, and very delayed surgery for congenital diaphragmatic hernia results in improved survival and decreases the need for extracorporeal membrane oxygenation (ECMO). This retrospective review of a 10-year experience in which the respiratory care strategy, ECMO availability, and technique of surgical repair remained essentially constant describes the evolution of this method of management of congenital diaphragmatic hernia.
AB - This report suggests that stabilization of the intrauterine to extrauterine transitional circulation combined with a respiratory care strategy that avoids pulmonary overdistension, takes advantage of inherent biological cardiorespiratory mechanics, and very delayed surgery for congenital diaphragmatic hernia results in improved survival and decreases the need for extracorporeal membrane oxygenation (ECMO). This retrospective review of a 10-year experience in which the respiratory care strategy, ECMO availability, and technique of surgical repair remained essentially constant describes the evolution of this method of management of congenital diaphragmatic hernia.
KW - Congenital diaphragmatic hernia
KW - extracorporeal membrane oxygenation
KW - persistent pulmonary hypertension
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U2 - 10.1016/0022-3468(95)90042-X
DO - 10.1016/0022-3468(95)90042-X
M3 - Article
C2 - 7760230
AN - SCOPUS:0028970033
VL - 30
SP - 406
EP - 409
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
SN - 0022-3468
IS - 3
ER -