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Use of extracorporeal membrane oxygenation support for congenital diaphragmatic hernia repair: B ridging therapy for successful outcomes
Author(s) -
Lau Chin Tung,
Chan ShuYan,
Rocha Barnabe,
Tam Paul K.H.,
Wong Kenneth K.Y.
Publication year - 2017
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/1744-1633.12259
Subject(s) - extracorporeal membrane oxygenation , medicine , congenital diaphragmatic hernia , pulmonary hypoplasia , pulmonary hypertension , diaphragmatic breathing , surgery , intensive care medicine , cardiology , gestation , pathology , pregnancy , fetus , alternative medicine , biology , genetics
Congenital diaphragmatic hernia ( CDH ) is a rare congenital disease with harmful potential. Mortality is often related to underlying pulmonary hypoplasia and pulmonary hypertension. Extracorporeal membrane oxygenation ( ECMO ) can serve as a bridging therapy for critical patients when all medical treatments and conventional ventilation strategies fail. However, operating on a neonate with CDH during ECMO poses a unique challenge to paediatric surgeons. In the present study, we report our experience with H ong K ong’s first case of CDH repair under ECMO .