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Congenital Diaphragmatic Hernia Repair

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Lateral, arms tucked
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : Caudal
Considerations : Arterial line, Central line, Aspiration risk / Full stomach, Neonatal resuscitation / NICU standby, Anticoagulation / Antiplatelet Therapy

Anesthetic Approaches

1GETT, 1/2 MAC Gas
2GETT, Epidural
The Surgery

Stabilization first - the baby is resuscitated in the neonatal unit with gentle ventilation, gastric decompression and pulmonary vasodilator therapy, and surgery is scheduled semi-electively once...

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