Ventilatory Problems With Congenital Diaphragmatic Hernia

Lewis, M. A. H.; Young, D. G.; Smith, Robert M.

doi:10.1097/00132586-197106000-00042

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1979

1982

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“…(5) Determine arterial blood gas valves through analysis of samples drawn from the umbilical and right radial arteries. (6) Attempt to correct acidosis with sodium bicarbonate or THAM. (7) Use vasodilator drugs in patients with pulmonary arterial hypertension and rightto-left shunt.…”

Section: Discussionmentioning

confidence: 99%

Congenital Diaphragmatic Hernias

Mishalany¹

1979

Arch Surg

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Section: Discussionmentioning

confidence: 99%

Congenital Diaphragmatic Hernias

Mishalany¹

1979

Arch Surg

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“…Obwohl sich die präoperative Behandlung, die Operationstechnik und vor allem die postoperative Nachbetreuung im letzten Jahrzehnt verbessert haben, liegt die Letalitätsrate angeborener Zwerchfelldefekte auch heute noch bei etwa 50 % (18,24,27). Besonders gefährdet sind jene Patienten, die we- gen zunehmender Ateminsuffizienz innerhalb der ersten 24 Stunden der dringlichen Operation bedürfen (high-risk-Gruppe).…”

Section: Introductionunclassified

Zur Behandlung der postoperativen Ateminsuffizienz bei Neugeborenen mit kongenitalem Zwerchfelldefekt¹

Wf¹,

Brömme²,

Fritz³

1982

Eur J Pediatr Surg

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Treatment of postoperative pulmonary insufficiency in congenital diaphragmatic hernia has two aims: on the one hand, it serves to assist in achieving full pulmonary development, whereas on the other hand it aims at lowering pulmonary hypertension. Full development of the hypoplastic lung is the decisively important factor with regard to improving ventilation and perfusion. The same degree of importance is attached to correcting hypoxia as well as acidosis. The different performance of the lungs in respect of mechanics of breathing can be influenced most effectively by a well-balanced application of several measures exercising an influence on pulmonary pressure, such as positive ventilatory pressure and thoracic suction drainage. If these measures are unsuccessful and in case of a clinically relevant ductal right-left shunt, it is recommended to administer vasodilators; in exceptional cases, ductal ligature can be the procedure of choice. These therapeutic problems are discussed on the basis of an evaluation of the authors' own patients treated between 1976 and 1980 (10 cases).

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Ventilatory Problems With Congenital Diaphragmatic Hernia

Cited by 2 publications

References 1 publication

Congenital Diaphragmatic Hernias

Congenital Diaphragmatic Hernias

Zur Behandlung der postoperativen Ateminsuffizienz bei Neugeborenen mit kongenitalem Zwerchfelldefekt¹

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Ventilatory Problems With Congenital Diaphragmatic Hernia

Cited by 2 publications

References 1 publication

Congenital Diaphragmatic Hernias

Congenital Diaphragmatic Hernias

Zur Behandlung der postoperativen Ateminsuffizienz bei Neugeborenen mit kongenitalem Zwerchfelldefekt1

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Zur Behandlung der postoperativen Ateminsuffizienz bei Neugeborenen mit kongenitalem Zwerchfelldefekt¹