Document Detail


Congenital diaphragmatic hernia and protective ventilation strategies in pediatric surgery.
MedLine Citation:
PMID:  22595714     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Infants affected with congenital diaphragmatic hernias (CDH) suffer from some degree of respiratory insufficiency arising from a combination of pulmonary hypoplasia and pulmonary hypertension. Respiratory care strategies to optimize blood gasses lead to significant barotrauma, increased morbidity, and overuse of extracorporeal membrane oxygenation (ECMO). Newer permissive hypercapnia/spontaneous ventilation protocols geared to accept moderate hypercapnia at lower peak airway pressures have led to improved outcomes. High-frequency oscillatory ventilation can be used in infants who continue to have persistent respiratory distress despite conventional ventilation. ECMO can be used successfully as a resuscitative strategy to minimize further barotrauma in carefully selected patients.
Authors:
Alejandro Garcia; Charles J H Stolar
Related Documents :
8469574 - Assessment of forced expiratory volume-time parameters in detecting histamine-induced b...
16150274 - Comparison of the tdx-flm ii and lecithin to sphingomyelin ratio assays in predicting f...
10726694 - Prediction of outcome by computer-assisted analysis of lung area on the chest radiograp...
2003044 - Do wheezy infants recovering from bronchiolitis respond to inhaled salbutamol?
2734634 - Nosocomial sepsis in the neonatal intensive care unit.
15166534 - Polymorphism of fc receptor iia for igg in infants is associated with susceptibility to...
Publication Detail:
Type:  Journal Article     Date:  2012-04-26
Journal Detail:
Title:  The Surgical clinics of North America     Volume:  92     ISSN:  1558-3171     ISO Abbreviation:  Surg. Clin. North Am.     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-05-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0074243     Medline TA:  Surg Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  659-68     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Division of Pediatric Surgery, Columbia University College of Physicians and Surgeons, 3959 Broadway, CHN 214, New York, NY 10032, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Pediatric Chest II: Benign Tumors and Cysts.
Next Document:  Chest wall deformities in pediatric surgery.