Congenital Diaphragmatic Hernia_flashcards
How are half of the babies with Congenital Diaphragmatic Hernia (CDH) diagnosed?
On routine antenatal scans.
What happens to the antenatal care of the mother if the baby has CDH?
Transferred to the specialist neonatal surgical unit.
What type of delivery is planned for babies with CDH?
A planned delivery (induction of labour or caesarean section) will be offered.
What resuscitation steps are taken after birth for babies with CDH?
Intubation and ventilation, ECMO if pulmonary hypertension is not improving, wide-bore NG tube to decompress the stomach.
Why is a wide-bore NG tube used in CDH resuscitation?
To decompress the stomach, prevent vomiting and swelling, and give more space for the lungs to inflate.
Where are babies with CDH cared for after birth?
Neonatal ICU.
When is the surgical repair of CDH generally performed?
The timing varies, but generally babies who require less support for breathing may have the surgery at 48-72 hours old.
