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In PART II of CDH- we discuss prenatal/ delivery room/ postnatal management of Congenital Diaphragmatic Hernias. Understand the role of FIXED and REVERSIBLE pulmonary HTN. Can we do anything BEFORE the infant is born? How do we protect the lungs? What ventilator to use? Is iNO helpful? What about ECMO? When is surgery done? What is the survival? Do infants with CDH have any long-lasting issues? Review all these topics!!! --------------------------------------------------------------------- Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded! --------------------------------------------------------------------- Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist. ---------------------------------------------------------------------- References: Chandrasekharan PK, Rawat M, Madappa R, Rothstein DH, Lakshminrusimha S. Congenital Diaphragmatic hernia - a review. Matern Health Neonatol Perinatol. 2017 Mar 11;3:6. doi: 10.1186/s40748-017-0045-1. PMID: 28331629; PMCID: PMC5356475. Horn-Oudshoorn EJJ, Knol R, Te Pas AB, et al Perinatal stabilisation of infants born with congenital diaphragmatic hernia: a review of current concepts Archives of Disease in Childhood - Fetal and Neonatal Edition 2020;105:449-454. Has Survival Improved for Congenital Diaphragmatic Hernia? A 25-Year Review of over 5000 Patients from the CDH Study Group Vikas S. Gupta, MD; Matthew T. Harting, MD, MS; Pamela A. Lally, MD; Charles C. Miller, PhD; Ronald B. Hirschl, MD; Carl F. Davis, FRCS; M. Sidney Dassinger, MD; Terry L. Buchmiller, MD; Krisa P. Van Meurs, MD; Bradley A. Yoder, MD; Michael J. Stewart, MBBS, FRACP; Kevin P. Lally, MD, MS, FAAP Pediatrics (2021) 147 (3_MeetingAbstract): 939–940. https://doi.org/10.1542/peds.147.3MA1... ---------------------------------------------------------------------------- **TIMESTAMPS** 01:24 Management of CDH 02:22 FETO / tracheal plugging 04:28 CDH and pulmonary HTN 05:02 Fixed hypertension 06:38 Reversible hypertension 07:55 Support the baby / NRP guidelines 09:53 Management in NICU 10:46 Choosing a ventilator 11:50 Medication options / ECHO 16:30 ECMO 18:30 Surgical repair 20:14 Outcomes of CDH ----------------------------------------------------------------------------- Music: www.bensound.com (royalty free with credit) Music I Use: Bensound.com/royalty-free-music License code: PREJZJE5JTQ74Z2I Music: Bensound License code: IGEUSBREOYUHOS6R ---------------------------------------------------------------------------- *Disclaimer*: This video is intended for educational purposes only and while we strive to give the most accurate information, errors may occur. Subsequently, this video should not be a replacement for medical advice.