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
Persistent Pulmonary Hypertension of the Newborn
Persistent pulmonary hypertension of the newborn (PPHN) is often secondary to parenchymal lung disease (such as meconium aspiration syndrome) or lung hypoplasia (with congenital diaphragmatic hernia) but can also be idiopathic. PPHN is characterized by elevated pulmonary vascular resistance, resulting in right-to-left shunting of blood and hypoxemia. The diagnosis of PPHN is based on clinical evidence of labile hypoxemia often associated with differential cyanosis and confirmed by echocardiography. Lung volume recruitment with optimal use of positive end-expiratory pressure or mean airway pressure and/or surfactant is very...
Source: NeoReviews recent issues - December 1, 2015 Category: Pediatrics Authors: Lakshminrusimha, S., Keszler, M. Tags: Pediatric Drug Labeling Update Articles Source Type: news
In Congenital Diaphragmatic Hernia, Monitor for Hearing LossIn Congenital Diaphragmatic Hernia, Monitor for Hearing Loss
Newborns with congenital diaphragmatic hernia (CDH) appear to be at higher risk of sensorineural hearing loss (SNHL), according to a new study. Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - September 14, 2015 Category: Consumer Health News Tags: Pediatrics News Source Type: news
Baby girl born with her stomach and intestines inside her CHEST survives - despite doctors advising her parents to consider an abortion
Holly Flynn, 25, from Manley, Cheshire, was told her baby had just a 50 per cent chance of survival. She was born with congenital diaphragmatic hernia - her organs had risen to her chest. (Source: the Mail online | Health)
Source: the Mail online | Health - June 5, 2015 Category: Consumer Health News Source Type: news
Index of Suspicion in the Nursery * Case 1: Unusual Cardiac Findings in a Neonate With Congenital Diaphragmatic Hernia
(Source: NeoReviews recent issues)
Source: NeoReviews recent issues - April 1, 2015 Category: Pediatrics Authors: Bauer, A. S., Hokanson, J. S., Limjoco, J. J. Tags: Pediatric Drug Labeling Update Articles Source Type: news
Mother 'advised to abort unborn son' holds him for the first time
Samuel Wilson, now ten weeks old, battled to survive after he was born with congenital diaphragmatic hernia at Liverpool Women's Hospital, weighing 4lb 15oz. (Source: the Mail online | Health)
Source: the Mail online | Health - August 13, 2014 Category: Consumer Health News Source Type: news
Congenital diaphragmatic hernia traced from genetic roots to physical defect
(Rensselaer Polytechnic Institute) A team including researchers from Rensselaer Polytechnic Institute have discovered that a specific gene may play a major role in the development of a life-threatening birth defect called congenital diaphragmatic hernia, or CDH, which affects approximately one out of every 3,000 live births. (Source: EurekAlert! - Biology)
Source: EurekAlert! - Biology - January 13, 2014 Category: Biology Source Type: news
Parents of boy born without diaphragm discover their unborn baby has same rare condition
Neil and Amy Rubenstein, from Chicago, U.S., already have a son, Aiden, three, with Congenital Diaphragmatic Hernia. (Source: the Mail online | Health)
Source: the Mail online | Health - September 11, 2013 Category: Consumer Health News Source Type: news