Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Snoek, KG; Reiss, IK; Greenough, A; Capolupo, I; Urlesberger, B; Wessel, L; Storme, L; Deprest, J; Schaible, T; van Heijst, A; Tibboel, D; CDH EURO Consortium.
Standardized Postnatal Management of Infants with Congenital Diaphragmatic Hernia in Europe: The CDH EURO Consortium Consensus - 2015 Update.
Neonatology. 2016; 110(1):66-74
Doi: 10.1159/000444210
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- Co-Autor*innen der Med Uni Graz
- Urlesberger Berndt
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- Abstract:
- In 2010, the congenital diaphragmatic hernia (CDH) EURO Consortium published a standardized neonatal treatment protocol. Five years later, the number of participating centers has been raised from 13 to 22. In this article the relevant literature is updated, and consensus has been reached between the members of the CDH EURO Consortium. Key updated recommendations are: (1) planned delivery after a gestational age of 39 weeks in a high-volume tertiary center; (2) neuromuscular blocking agents to be avoided during initial treatment in the delivery room; (3) adapt treatment to reach a preductal saturation of between 80 and 95% and postductal saturation >70%; (4) target PaCO2 to be between 50 and 70 mm Hg; (5) conventional mechanical ventilation to be the optimal initial ventilation strategy, and (6) intravenous sildenafil to be considered in CDH patients with severe pulmonary hypertension. This article represents the current opinion of all consortium members in Europe for the optimal neonatal treatment of CDH. © 2016 The Author(s) Published by S. Karger AG, Basel.
- Find related publications in this database (using NLM MeSH Indexing)
- Clinical Protocols - standards
- Consensus -
- Europe -
- Expert Testimony -
- Hernias, Diaphragmatic, Congenital - complications
- Hernias, Diaphragmatic, Congenital - therapy
- Humans -
- Hypertension, Pulmonary - therapy
- Infant -
- Infant, Newborn -
- Monitoring, Physiologic -
- Postnatal Care - standards
- Practice Guidelines as Topic -
- Respiration, Artificial -
- Sildenafil Citrate - therapeutic use
- Find related publications in this database (Keywords)
- Congenital diaphragmatic hernia
- Standardized treatment
- Consensus