Update on Management and Outcomes of Congenital Diaphragmatic Hernia.
Katherine Taylor WildHolly L HedrickAnne M AdesMaria V FragaCatherine M AvitabileJuliana S GebbEdward R OliverKristen ColettiErin M KeslerK Taylor Van HooseHoward B PanitchSandy JohngRenee P EbbertLisa M HerkertCasey HoffmanDeanna RubleSabrina FlohrTom ReynoldsMelissa S DuranAudrey FosterRebecca S IssermanEmily A PartridgeNatalie E RintoulPublished in: Journal of intensive care medicine (2023)
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.
Keyphrases
- extracorporeal membrane oxygenation
- palliative care
- pulmonary hypertension
- respiratory failure
- acute respiratory distress syndrome
- healthcare
- quality improvement
- cardiovascular events
- systematic review
- primary care
- risk factors
- mechanical ventilation
- depressive symptoms
- type diabetes
- pulmonary artery
- coronary artery disease
- skeletal muscle
- insulin resistance
- weight loss
- adipose tissue
- early life
- glycemic control