caa a22 4500 606247890 CHVBK 20210128101347.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s12262-015-1286-8 doi (NATIONALLICENCE)springer-10.1007/s12262-015-1286-8 Kumar Vasanth Department of Pediatrics, University at Buffalo, State University of New York, Buffalo, NY, USA aut Current Concepts in the Management of Congenital Diaphragmatic Hernia in Infants [Elektronische Daten] [Vasanth Kumar] The therapeutic approach to congenital diaphragmatic hernia (CDH) has shifted from one of immediate repair to management of pulmonary hypertension, physiologic stabilization, and delayed surgical repair. Lung hypoplasia, remodeled pulmonary vasculature, and ventricular dysfunction all contribute to the high morbidity and mortality associated with CDH. In addition, genetic syndromes associated with CDH can increase the incidence of serious anomalies and hence impact survival. Prenatal and postnatal management of infants with CDH is challenging in the best of circumstances and need multidisciplinary teams for optimal outcomes. However, advances using ultrasound and fetal MRI can predict prognosis and survival and plan for postnatal management. Survival rates for patients with CDH have increased for the past decade with better management at resuscitation; implementation of gentle ventilation strategies; and medical management of pulmonary hypertension, physiologic stabilization, and extracorporeal membrane oxygenation. However, follow-up of these infants for long-term morbidities is essential for optimal outcomes after discharge. Association of Surgeons of India, 2015 CDH nationallicence Pulmonary hypertension nationallicence Lung hypoplasia nationallicence ECMO nationallicence Neonate nationallicence Indian Journal of Surgery Springer India 77/4(2015-08-01), 313-321 0972-2068 77:4<313 2015 77 12262 https://doi.org/10.1007/s12262-015-1286-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 review-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-015-1286-8 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Kumar Vasanth Department of Pediatrics, University at Buffalo, State University of New York, Buffalo, NY, USA aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77/4(2015-08-01), 313-321 0972-2068 77:4<313 2015 77 12262