Update on Management and Outcomes of Congenital Diaphragmatic Hernia

被引:3
作者
Wild, K. Taylor [1 ]
Hedrick, Holly L. [2 ,3 ]
Ades, Anne M. [1 ]
Fraga, Maria V. [1 ]
Avitabile, Catherine M. [4 ]
Gebb, Juliana S. [2 ]
Oliver, Edward R. [5 ]
Coletti, Kristen [1 ]
Kesler, Erin M. [3 ]
Van Hoose, K. Taylor [3 ]
Panitch, Howard B. [6 ]
Johng, Sandy [1 ]
Ebbert, Renee P. [3 ]
Herkert, Lisa M. [3 ]
Hoffman, Casey [7 ]
Ruble, Deanna [2 ]
Flohr, Sabrina [2 ]
Reynolds, Tom [2 ]
Duran, Melissa [3 ]
Foster, Audrey [8 ]
Isserman, Rebecca S. [9 ]
Partridge, Emily A. [2 ,3 ]
Rintoul, Natalie E. [1 ]
机构
[1] Univ Penn, Childrens Hosp Philadelphia, Perelman Sch Med, Div Neonatol, 3401 Civ Ctr Blvd, Philadelphia, PA 19104 USA
[2] Childrens Hosp Philadelphia, Richard D Wood Ctr Fetal Diag & Treatment, Philadelphia, PA USA
[3] Univ Penn, Childrens Hosp Philadelphia, Perelman Sch Med, Div Pediat Gen Thorac & Fetal Surg, Philadelphia, PA USA
[4] Univ Penn, Childrens Hosp Philadelphia, Perelman Sch Med, Div Cardiol, Philadelphia, PA USA
[5] Univ Penn, Childrens Hosp Philadelphia, Perelman Sch Med, Dept Radiol, Philadelphia, PA USA
[6] Univ Penn, Childrens Hosp Philadelphia, Perelman Sch Med, Div Pulm & Sleep Med, Philadelphia, PA USA
[7] Univ Penn, Childrens Hosp Philadelphia, Perelman Sch Med, Dept Child & Adolescent Psychiat & Behav Sci, Philadelphia, PA USA
[8] Childrens Hosp Philadelphia, Dept Clin Nutr, Philadelphia, PA USA
[9] Univ Penn, Childrens Hosp Philadelphia, Div Anesthesiol & Crit Care Med, Perelman Sch Med, Philadelphia, PA USA
关键词
congenital diaphragmatic hernia; pulmonary hypertension; extracorporeal membrane oxygenation; EXTRACORPOREAL MEMBRANE-OXYGENATION; NEAR-INFRARED SPECTROSCOPY; CHRONIC LUNG-DISEASE; MUSCLE FLAP REPAIR; PULMONARY-HYPERTENSION; SONOGRAPHIC PREDICTORS; PERINATAL MANAGEMENT; LIVER HERNIATION; PATCH REPAIR; FOLLOW-UP;
D O I
10.1177/08850666231212874
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Infants with congenital diaphragmatic hernia (CDH) benefit from comprehensive multidisciplinary teams that have experience in caring for the unique and complex issues associated with CDH. Despite prenatal referral to specialized high-volume centers, advanced ventilation strategies and pulmonary hypertension management, and extracorporeal membrane oxygenation, mortality and morbidity remain high. These infants have unique and complex issues that begin in fetal and infant life, but persist through adulthood. Here we will review the literature and share our clinical care pathway for neonatal care and follow up. While many advances have occurred in the past few decades, our work is just beginning to continue to improve the mortality, but also importantly the morbidity of CDH.
引用
收藏
页码:1175 / 1193
页数:19
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