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Congenital Diaphragmatic Hernia: Maximizing Survival
Congenital diaphragmatic hernia occurs when a portion of the fetal diaphragm is absent, allowing abdominal contents to enter the thorax, and is associated with impaired pulmonary development. Although overall mortality is near 30%, a mortality rate less than 15% may be possible by following a standardized multidisciplinary care plan. Fetal diagnosis and evaluation can improve coordination of care, but there is no clear role for fetal intervention. After birth, gentle ventilation with permissive hypercapnia supports the infant while minimizing lung injury. Appropriate cardiovascular support, treatment of pulmonary hypertens...
Source: NeoReviews recent issues - November 30, 2016 Category: Pediatrics Authors: Weems, M. F., Jancelewicz, T., Sandhu, H. S. Tags: Pediatric Drug Labeling Update Articles Source Type: news
Case 1: Secondary Structural Cause of Tachypnea Following Congenital Diaphragmatic Hernia Repair in a Term Neonate
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - October 31, 2016 Category: Pediatrics Authors: Ibrahim, J., Sher, I., Coren, C., Amrita, N. Tags: Pediatric Drug Labeling Update Index of Suspicion in the Nursery Source Type: news
What Causes Vomiting?
Discussion Regurgitation is a passive expulsion of ingested material out of the mouth. It is a normal part of digestion for ruminants such as cows and camels. Nausea is an unpleasant abdominal perception that the person may describe as feeling ill to the stomach, or feeling like he/she is going to vomit. Anorexia is frequently observed. Nausea is usually associated with decreased stomach activity and motility in the small intestine. Parasympathetic activity may be increased causing pale skin, sweating, hypersalivation and possible vasovagal syndrome (hypotension and bradycardia). Retching or dry heaves is when there are sp...
Source: PediatricEducation.org - May 2, 2016 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news
Minimally Invasive Surgery in Neonatal Patients: A Review
Laparoscopic and thoracoscopic surgery have gradually become accepted diagnostic and therapeutic modalities in the management of neonatal surgical conditions. In the hands of experienced surgeons, minimally invasive surgery (MIS) has reduced the need for open procedures. In children younger than 1 year, the advantages of MIS are evident in avoiding the sequelae of open surgery. MIS has shown outcomes comparable to those with open surgery. The recent literature in the PubMed database was reviewed, using the keywords "minimally invasive surgery," "neonatology," "pediatric surgery," "laparos...
Source: NeoReviews recent issues - May 1, 2016 Category: Pediatrics Authors: Lopez, J., Stringel, G. Tags: Pediatric Drug Labeling Update Articles Source Type: news