The Delivery Room Resuscitation of Infants with Congenital Diaphragmatic Hernia Treated with Fetoscopic Endoluminal Tracheal Occlusion: Beyond the Balloon.
K Taylor WildNatalie E RintoulAnne M AdesJuliana S GebbJulie S MoldenhauerLeny MathewSabrina FlohrAnna BostwickTom ReynoldsRyan L RuizLuv R JaviaOlivia NelsonWilliam H PeranteauEmily A PartridgeN Scott AdzickHolly L HedrickPublished in: Fetal diagnosis and therapy (2024)
The delivery room resuscitation of infants treated with FETO requires thoughtful preparation with an experienced multidisciplinary team. Given increased survival, FETO should be offered to infants with severe isolated left-sided CDH, but only in high-volume centers with the experience and capability of removing the balloon, emergently if needed. The neonatal clinical team must be skilled in managing the unique postnatal physiology inherent to FETO where effective interdisciplinary teamwork is essential. Empiric and immediate surfactant administration should be considered in all FETO infants to lavage thick airway secretions, particularly those delivered <48 h after balloon removal.