Abstract
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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 406-409 |
| Number of pages | 4 |
| Journal | Journal of Pediatric Surgery |
| Volume | 30 |
| Issue number | 3 |
| State | Published - Mar 1995 |
| Externally published | Yes |
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Keywords
- Congenital diaphragmatic hernia
- extracorporeal membrane oxygenation
- persistent pulmonary hypertension
ASJC Scopus subject areas
- Surgery
- Pediatrics, Perinatology, and Child Health
Cite this
Congenital diaphragmatic hernia : Survival treated with very delayed surgery, spontaneous respiration, and no chest tube. / Wung, J. T.; Sahni, R.; Moffitt, S. T.; Lipsitz, Evan C.; Stolar, C. J H.
In: Journal of Pediatric Surgery, Vol. 30, No. 3, 03.1995, p. 406-409.Research output: Contribution to journal › Article
}
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, Evan C.
AU - Stolar, C. J H
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
UR - http://www.scopus.com/inward/record.url?scp=0028970033&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028970033&partnerID=8YFLogxK
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 -