Congenital diaphragmatic hernia: survival treated with very delayed surgery, spontaneous respiration, and no chest tube.

@article{Wung1995CongenitalDH,
  title={Congenital diaphragmatic hernia: survival treated with very delayed surgery, spontaneous respiration, and no chest tube.},
  author={J T Wung and Rakesh Sahni and S T Moffitt and Evan C. Lipsitz and Charles J. H. Stolar},
  journal={Journal of pediatric surgery},
  year={1995},
  volume={30 3},
  pages={406-9}
}
This report suggests that stabilization of the intrauterine to extrauterine transitional circulation combined with a respiratory care strategy that avoids pulmonary overdistension, takes advantage of inherent biological cardiorespiratory mechanics, and very delayed surgery for congenital diaphragmatic hernia results in improved survival and decreases the need for extracorporeal membrane oxygenation (ECMO). This retrospective review of a 10-year experience in which the respiratory care strategy… CONTINUE READING