Efficacy and safety of general anesthesia with caudal block for inguinal hernioplasty in children: a randomized controlled trial
CONCLUSIONS: In children, the combination of general anesthesia with caudal block, compared to general anesthesia only, is more efficient in suppressing visceral pain, leading to better hemodynamic stability, and reducing the consumption of medicines in the perioperative period.PMID:38436173 | DOI:10.26355/eurrev_202402_35461 (Source: European Review for Medical and Pharmacological Sciences)
Source: European Review for Medical and Pharmacological Sciences - March 4, 2024 Category: Drugs & Pharmacology Authors: M Pandurov I Fabri Galambos R Zdravkovic A Uram Benka G Rakic N Boskovic S Vickovic M Tatic M Lukic Sarkanovic T Tubic M Preveden N Dra čina N Videnovic D Krtinic A Jakovljevic N Djokovic A Jakovljevic B Draskovic Source Type: research

The Association of Prenatal Diagnoses with Mortality and Long-Term Morbidity in Children with Specific Isolated Congenital Anomalies: A European Register-Based Cohort Study
ConclusionsOur findings do not show improved outcomes for prenatally diagnosed infants. For conditions where prenatal diagnoses were associated with greater mortality and morbidity, the findings might be attributed to increased detection of more severe anomalies. The increased mortality and morbidity in those diagnosed prenatally may be related to the lower mean gestational age (GA) at birth, leading to insufficient surfactant for respiratory effort. This is especially important for these four groups of children as they have to undergo anaesthesia and surgery shortly after birth. Appropriate prenatal counselling about the ...
Source: Maternal and Child Health Journal - March 4, 2024 Category: Health Management Source Type: research

Review of the Evaluation of Pulmonary Hypoplasia as an Important Determinant of Clinical Outcomes in Infants with Congenital Diaphragmatic Hernia
This article aims to review the evaluation of pulmonary hypoplasia or hypoplastic lung disease as an important determinant of clinical outcomes in infants with congenital diaphragmatic hernia. In this review, we emphasize the importance of early prenatal diagnosis of congenital diaphragmatic hernia and present a summary of different methods of prenatal risk assessment of lung hypoplasia in congenital diaphragmatic hernia.PMID:38419323 | DOI:10.12659/MSM.943259 (Source: Medical Science Monitor)
Source: Medical Science Monitor - February 29, 2024 Category: Research Authors: Daria Kuchnowska Katarzyna Luterek Piotr W ęgrzyn Przemys ław Kosiński Source Type: research

Letter to the Editor in Response to: Predictors of Mortality in Very low Birth Weight Neonates With Congenital Diaphragmatic Hernia
The authors has no competing interests. (Source: Journal of Pediatric Surgery)
Source: Journal of Pediatric Surgery - February 28, 2024 Category: Surgery Authors: Pablo Lohmann, Joseph Garcia-Prats Source Type: research

Congenital diaphragmatic hernia: automatic lung and liver MRI segmentation with nnU-Net, reproducibility of pyradiomics features, and a machine learning application for the classification of liver herniation
Conclusion: Our results suggest that automatic MRI segmentation is feasible, with good reproducibility of pyradiomics features, and that a ML system for liver herniation prediction offers good reliability.          Trial registration:https://clinicaltrials.gov/ct2/show/NCT04609163?term=NCT04609163&draw=2&rank=1; Clinical Trial Identification no. NCT04609163.What is Known:• Magnetic resonance imaging (MRI) is crucial for prenatal congenital diaphragmatic hernia (CDH) assessment. It enables the quantification of the total lung volume and the extent of liver herniation, which are essential for stratifying the ...
Source: European Journal of Pediatrics - February 28, 2024 Category: Pediatrics Source Type: research