Diaphragmatic Hernia in Infants Under One Year of Age

Congenital Diaphragmatic Hernias

“…(3) In patients who need respiratory assistance, intubate and respirate by hand as gently as possible to prevent pneumothorax. (4) Notify a pediatrie surgical center and prepare for incubator transport by the most expedient vehicle available. (5) Determine arterial blood gas valves through analysis of samples drawn from the umbilical and right radial arteries.…”

Ventilatory Problems With Congenital Diaphragmatic Hernia

“…The general surgical aspects have been discussed by various authors2-69 8,9 but the anaesthetic management has received less attention 10-12. The ventilatory problem, with which the anaesthetist is primarily concerned, is the critical factor in the management of babies with congenital diaphragmatic hernia presenting within a few hours of birth. In the present series over 27 % of the babies had to be resuscitated at birth and these babies, all with left sided hernia, showed dextrocardia which has been emphasised as a sign of congenital diaphragmatic hernias.…”

“…In the present series over 27 % of the babies had to be resuscitated at birth and these babies, all with left sided hernia, showed dextrocardia which has been emphasised as a sign of congenital diaphragmatic hernias. The general surgical aspects have been discussed by various authors2-69 8,9 but the anaesthetic management has received less attention 10-12. The ventilatory problem, with which the anaesthetist is primarily concerned, is the critical factor in the management of babies with congenital diaphragmatic hernia presenting within a few hours of birth. The detailed histological and dissection studies of the lungs in affected babies 191 and the elegant experimental production of diaphragmatic hernia in foetal lambs by deLorimier et al * 5 leave no doubt that hypoplasia of lungs in babies with diaphragmatic hernia is a true entity.…”

Ventilatory problems with congenital diaphragmatic hernia

“…In the present series over 27 % of the babies had to be resuscitated at birth and these babies, all with left sided hernia, showed dextrocardia which has been emphasised as a sign of congenital diaphragmatic hernias. The general surgical aspects have been discussed by various authors2-69 8,9 but the anaesthetic management has received less attention 10-12. The ventilatory problem, with which the anaesthetist is primarily concerned, is the critical factor in the management of babies with congenital diaphragmatic hernia presenting within a few hours of birth.…”