Open AccessAnaesthetic Management of a Neonate with Right Sided Congenital Diaphragmatic Hernia
Author(s) -
Lavanya Kapart
Publication year - 2013
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2013/6387.3827
Subject(s) - congenital diaphragmatic hernia , medicine , diaphragmatic breathing , modalities , high frequency ventilation , ventilation (architecture) , outcome (game theory) , diaphragmatic hernia , mechanical ventilation , anesthesia , hernia , surgery , fetus , pregnancy , mechanical engineering , social science , genetics , alternative medicine , mathematics , mathematical economics , pathology , sociology , engineering , biology
Neonates who are born with CDH suffer from sub-stantial morbidity and mortality. Modalities of treatment are said to influence outcome, apart from pre-natal and post-natal factors. Reports from developed countries have described improved survival with High Frequency Oscillatory Ventilation (HFOV), Extra Corporeal Membrane Oxygenation (ECMO) and inhaled Nitric Oxide (NO). Many centres in developing countries lack these neonatal advanced care facilities and outcome is expected to be different. In this case, we have focused on anaesthetic management of RCDH in a 5-day-old neonate, by using conventional ventilation.