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Successful extracorporeal membrane oxygenation for postoperative cardiopulmonary failure in newborns with congenital diaphragmatic hernia: case reports and literature reviews.
| Content Provider | Europe PMC |
|---|---|
| Author | Hong, Song-Ming Chen, Xiu-Hua Zhou, Si-Jia Hong, Jun-Jie Zheng, Yi-Rong Chen, Qiang Huang, Jin-Xi |
| Copyright Year | 2023 |
| Abstract | IntroductionCongenital diaphragmatic hernia (CDH) is a structural defect caused by inadequate fusion of the pleuroperitoneal membrane that forms the diaphragm, allowing peritoneal viscera to protrude into the pleural cavity. Up to 30% of newborns with CDH require extracorporeal membrane oxygenation (ECMO) support. As with all interventions, the risks and benefits of ECMO must be carefully considered in these patients. Cardiopulmonary function has been shown to worsen rather than improve after surgical CDH repair. Even after a detailed perioperative assessment, sudden cardiopulmonary failure after surgery is dangerous and requires timely and effective treatments.MethodThree cases of cardiopulmonary failure after surgical CDH treatment in newborns have been reported. ECMO support was needed for these three patients and was successfully discontinued. We report our treatment experience.ConclusionECMO is feasible for the treatment of postoperative cardiopulmonary failure in newborns with CDH. |
| Journal | Frontiers in Pediatrics |
| Volume Number | 11 |
| PubMed Central reference number | PMC10333486 |
| PubMed reference number | 37441572 |
| e-ISSN | 22962360 |
| DOI | 10.3389/fped.2023.1158885 |
| Language | English |
| Publisher | Frontiers Media S.A. |
| Publisher Date | 2023-06-27 |
| Access Restriction | Open |
| Rights License | This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. © 2023 Hong, Chen, Zhou, Hong, Zheng, Chen and Huang. |
| Subject Keyword | congenital diaphragmatic hernia cardiopulmonary failure extracorporeal membrane oxygenation postoperative newborn |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pediatrics, Perinatology and Child Health |