Spontaneous breathing approach in mild congenital diaphragmatic hernia: A resuscitation algorithm

BackgroundInfants with a congenital diaphragmatic hernia (CDH) and expected mild pulmonary hypoplasia have an estimated survival rate of 90%. Current guidelines for delivery room management do not consider the individual patient's disease severity, but an individualized approach with spontaneou...
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Autor*in:	Emily J. J. Horn-Oudshoorn [verfasserIn] Ronny Knol [verfasserIn] Suzan C. M. Cochius-den Otter [verfasserIn] Arjan B. te Pas [verfasserIn] Stuart B. Hooper [verfasserIn] Calum T. Roberts [verfasserIn] Neysan Rafat [verfasserIn] Thomas Schaible [verfasserIn] Willem P. de Boode [verfasserIn] Robin van der Lee [verfasserIn] Anne Debeer [verfasserIn] Florian Kipfmueller [verfasserIn] Charles C. Roehr [verfasserIn] Irwin K. M. Reiss [verfasserIn] Philip L. J. DeKoninck [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	congenital diaphragmatic hernia intubation spontaneous breathing approach neonatal resuscitation birth

Übergeordnetes Werk:	In: Frontiers in Pediatrics - Frontiers Media S.A., 2013, 10(2022)
Übergeordnetes Werk:	volume:10 ; year:2022

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3389/fped.2022.945090

Katalog-ID:	DOAJ036061123

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520			\|a BackgroundInfants with a congenital diaphragmatic hernia (CDH) and expected mild pulmonary hypoplasia have an estimated survival rate of 90%. Current guidelines for delivery room management do not consider the individual patient's disease severity, but an individualized approach with spontaneous breathing instead of routine mechanical ventilation could be beneficial for the mildest cases. We developed a resuscitation algorithm for this individualized approach serving two purposes: improving the success rate by structuring the approach and providing a guideline for other centers.MethodsAn initial algorithm was discussed with all local stakeholders. Afterwards, the resulting algorithm was refined using input from international experts.ResultsEligible CDH infants: left-sided defect, observed to expected lung-to-head ratio ≥50%, gestational age at birth ≥37.0 weeks, and no major associated structural or genetic abnormalities. To facilitate fetal-to-neonatal transition, we propose to start stabilization with non-invasive respiratory support and to adjust this individually.ConclusionsInfants with mild CDH might benefit from an individualized approach for neonatal resuscitation. Herein, we present an algorithm that could serve as guidance for centers implementing this.
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allfields	10.3389/fped.2022.945090 doi (DE-627)DOAJ036061123 (DE-599)DOAJff9897b6e87c48cdb10f6069cb47e85c DE-627 ger DE-627 rakwb eng RJ1-570 Emily J. J. Horn-Oudshoorn verfasserin aut Spontaneous breathing approach in mild congenital diaphragmatic hernia: A resuscitation algorithm 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundInfants with a congenital diaphragmatic hernia (CDH) and expected mild pulmonary hypoplasia have an estimated survival rate of 90%. Current guidelines for delivery room management do not consider the individual patient's disease severity, but an individualized approach with spontaneous breathing instead of routine mechanical ventilation could be beneficial for the mildest cases. We developed a resuscitation algorithm for this individualized approach serving two purposes: improving the success rate by structuring the approach and providing a guideline for other centers.MethodsAn initial algorithm was discussed with all local stakeholders. Afterwards, the resulting algorithm was refined using input from international experts.ResultsEligible CDH infants: left-sided defect, observed to expected lung-to-head ratio ≥50%, gestational age at birth ≥37.0 weeks, and no major associated structural or genetic abnormalities. To facilitate fetal-to-neonatal transition, we propose to start stabilization with non-invasive respiratory support and to adjust this individually.ConclusionsInfants with mild CDH might benefit from an individualized approach for neonatal resuscitation. Herein, we present an algorithm that could serve as guidance for centers implementing this. congenital diaphragmatic hernia intubation spontaneous breathing approach neonatal resuscitation birth Pediatrics Ronny Knol verfasserin aut Suzan C. M. Cochius-den Otter verfasserin aut Arjan B. te Pas verfasserin aut Stuart B. Hooper verfasserin aut Calum T. Roberts verfasserin aut Calum T. Roberts verfasserin aut Neysan Rafat verfasserin aut Thomas Schaible verfasserin aut Willem P. de Boode verfasserin aut Robin van der Lee verfasserin aut Anne Debeer verfasserin aut Florian Kipfmueller verfasserin aut Charles C. Roehr verfasserin aut Charles C. Roehr verfasserin aut Charles C. Roehr verfasserin aut Irwin K. M. Reiss verfasserin aut Philip L. J. DeKoninck verfasserin aut Philip L. J. DeKoninck verfasserin aut In Frontiers in Pediatrics Frontiers Media S.A., 2013 10(2022) (DE-627)742738744 (DE-600)2711999-3 22962360 nnns volume:10 year:2022 https://doi.org/10.3389/fped.2022.945090 kostenfrei https://doaj.org/article/ff9897b6e87c48cdb10f6069cb47e85c kostenfrei https://www.frontiersin.org/articles/10.3389/fped.2022.945090/full kostenfrei https://doaj.org/toc/2296-2360 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022
spelling	10.3389/fped.2022.945090 doi (DE-627)DOAJ036061123 (DE-599)DOAJff9897b6e87c48cdb10f6069cb47e85c DE-627 ger DE-627 rakwb eng RJ1-570 Emily J. J. Horn-Oudshoorn verfasserin aut Spontaneous breathing approach in mild congenital diaphragmatic hernia: A resuscitation algorithm 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundInfants with a congenital diaphragmatic hernia (CDH) and expected mild pulmonary hypoplasia have an estimated survival rate of 90%. Current guidelines for delivery room management do not consider the individual patient's disease severity, but an individualized approach with spontaneous breathing instead of routine mechanical ventilation could be beneficial for the mildest cases. We developed a resuscitation algorithm for this individualized approach serving two purposes: improving the success rate by structuring the approach and providing a guideline for other centers.MethodsAn initial algorithm was discussed with all local stakeholders. Afterwards, the resulting algorithm was refined using input from international experts.ResultsEligible CDH infants: left-sided defect, observed to expected lung-to-head ratio ≥50%, gestational age at birth ≥37.0 weeks, and no major associated structural or genetic abnormalities. To facilitate fetal-to-neonatal transition, we propose to start stabilization with non-invasive respiratory support and to adjust this individually.ConclusionsInfants with mild CDH might benefit from an individualized approach for neonatal resuscitation. Herein, we present an algorithm that could serve as guidance for centers implementing this. congenital diaphragmatic hernia intubation spontaneous breathing approach neonatal resuscitation birth Pediatrics Ronny Knol verfasserin aut Suzan C. M. Cochius-den Otter verfasserin aut Arjan B. te Pas verfasserin aut Stuart B. Hooper verfasserin aut Calum T. Roberts verfasserin aut Calum T. Roberts verfasserin aut Neysan Rafat verfasserin aut Thomas Schaible verfasserin aut Willem P. de Boode verfasserin aut Robin van der Lee verfasserin aut Anne Debeer verfasserin aut Florian Kipfmueller verfasserin aut Charles C. Roehr verfasserin aut Charles C. Roehr verfasserin aut Charles C. Roehr verfasserin aut Irwin K. M. Reiss verfasserin aut Philip L. J. DeKoninck verfasserin aut Philip L. J. DeKoninck verfasserin aut In Frontiers in Pediatrics Frontiers Media S.A., 2013 10(2022) (DE-627)742738744 (DE-600)2711999-3 22962360 nnns volume:10 year:2022 https://doi.org/10.3389/fped.2022.945090 kostenfrei https://doaj.org/article/ff9897b6e87c48cdb10f6069cb47e85c kostenfrei https://www.frontiersin.org/articles/10.3389/fped.2022.945090/full kostenfrei https://doaj.org/toc/2296-2360 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022
allfields_unstemmed	10.3389/fped.2022.945090 doi (DE-627)DOAJ036061123 (DE-599)DOAJff9897b6e87c48cdb10f6069cb47e85c DE-627 ger DE-627 rakwb eng RJ1-570 Emily J. J. Horn-Oudshoorn verfasserin aut Spontaneous breathing approach in mild congenital diaphragmatic hernia: A resuscitation algorithm 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundInfants with a congenital diaphragmatic hernia (CDH) and expected mild pulmonary hypoplasia have an estimated survival rate of 90%. Current guidelines for delivery room management do not consider the individual patient's disease severity, but an individualized approach with spontaneous breathing instead of routine mechanical ventilation could be beneficial for the mildest cases. We developed a resuscitation algorithm for this individualized approach serving two purposes: improving the success rate by structuring the approach and providing a guideline for other centers.MethodsAn initial algorithm was discussed with all local stakeholders. Afterwards, the resulting algorithm was refined using input from international experts.ResultsEligible CDH infants: left-sided defect, observed to expected lung-to-head ratio ≥50%, gestational age at birth ≥37.0 weeks, and no major associated structural or genetic abnormalities. To facilitate fetal-to-neonatal transition, we propose to start stabilization with non-invasive respiratory support and to adjust this individually.ConclusionsInfants with mild CDH might benefit from an individualized approach for neonatal resuscitation. Herein, we present an algorithm that could serve as guidance for centers implementing this. congenital diaphragmatic hernia intubation spontaneous breathing approach neonatal resuscitation birth Pediatrics Ronny Knol verfasserin aut Suzan C. M. Cochius-den Otter verfasserin aut Arjan B. te Pas verfasserin aut Stuart B. Hooper verfasserin aut Calum T. Roberts verfasserin aut Calum T. Roberts verfasserin aut Neysan Rafat verfasserin aut Thomas Schaible verfasserin aut Willem P. de Boode verfasserin aut Robin van der Lee verfasserin aut Anne Debeer verfasserin aut Florian Kipfmueller verfasserin aut Charles C. Roehr verfasserin aut Charles C. Roehr verfasserin aut Charles C. Roehr verfasserin aut Irwin K. M. Reiss verfasserin aut Philip L. J. DeKoninck verfasserin aut Philip L. J. DeKoninck verfasserin aut In Frontiers in Pediatrics Frontiers Media S.A., 2013 10(2022) (DE-627)742738744 (DE-600)2711999-3 22962360 nnns volume:10 year:2022 https://doi.org/10.3389/fped.2022.945090 kostenfrei https://doaj.org/article/ff9897b6e87c48cdb10f6069cb47e85c kostenfrei https://www.frontiersin.org/articles/10.3389/fped.2022.945090/full kostenfrei https://doaj.org/toc/2296-2360 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022
allfieldsGer	10.3389/fped.2022.945090 doi (DE-627)DOAJ036061123 (DE-599)DOAJff9897b6e87c48cdb10f6069cb47e85c DE-627 ger DE-627 rakwb eng RJ1-570 Emily J. J. Horn-Oudshoorn verfasserin aut Spontaneous breathing approach in mild congenital diaphragmatic hernia: A resuscitation algorithm 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundInfants with a congenital diaphragmatic hernia (CDH) and expected mild pulmonary hypoplasia have an estimated survival rate of 90%. Current guidelines for delivery room management do not consider the individual patient's disease severity, but an individualized approach with spontaneous breathing instead of routine mechanical ventilation could be beneficial for the mildest cases. We developed a resuscitation algorithm for this individualized approach serving two purposes: improving the success rate by structuring the approach and providing a guideline for other centers.MethodsAn initial algorithm was discussed with all local stakeholders. Afterwards, the resulting algorithm was refined using input from international experts.ResultsEligible CDH infants: left-sided defect, observed to expected lung-to-head ratio ≥50%, gestational age at birth ≥37.0 weeks, and no major associated structural or genetic abnormalities. To facilitate fetal-to-neonatal transition, we propose to start stabilization with non-invasive respiratory support and to adjust this individually.ConclusionsInfants with mild CDH might benefit from an individualized approach for neonatal resuscitation. Herein, we present an algorithm that could serve as guidance for centers implementing this. congenital diaphragmatic hernia intubation spontaneous breathing approach neonatal resuscitation birth Pediatrics Ronny Knol verfasserin aut Suzan C. M. Cochius-den Otter verfasserin aut Arjan B. te Pas verfasserin aut Stuart B. Hooper verfasserin aut Calum T. Roberts verfasserin aut Calum T. Roberts verfasserin aut Neysan Rafat verfasserin aut Thomas Schaible verfasserin aut Willem P. de Boode verfasserin aut Robin van der Lee verfasserin aut Anne Debeer verfasserin aut Florian Kipfmueller verfasserin aut Charles C. Roehr verfasserin aut Charles C. Roehr verfasserin aut Charles C. Roehr verfasserin aut Irwin K. M. Reiss verfasserin aut Philip L. J. DeKoninck verfasserin aut Philip L. J. DeKoninck verfasserin aut In Frontiers in Pediatrics Frontiers Media S.A., 2013 10(2022) (DE-627)742738744 (DE-600)2711999-3 22962360 nnns volume:10 year:2022 https://doi.org/10.3389/fped.2022.945090 kostenfrei https://doaj.org/article/ff9897b6e87c48cdb10f6069cb47e85c kostenfrei https://www.frontiersin.org/articles/10.3389/fped.2022.945090/full kostenfrei https://doaj.org/toc/2296-2360 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022
allfieldsSound	10.3389/fped.2022.945090 doi (DE-627)DOAJ036061123 (DE-599)DOAJff9897b6e87c48cdb10f6069cb47e85c DE-627 ger DE-627 rakwb eng RJ1-570 Emily J. J. Horn-Oudshoorn verfasserin aut Spontaneous breathing approach in mild congenital diaphragmatic hernia: A resuscitation algorithm 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundInfants with a congenital diaphragmatic hernia (CDH) and expected mild pulmonary hypoplasia have an estimated survival rate of 90%. Current guidelines for delivery room management do not consider the individual patient's disease severity, but an individualized approach with spontaneous breathing instead of routine mechanical ventilation could be beneficial for the mildest cases. We developed a resuscitation algorithm for this individualized approach serving two purposes: improving the success rate by structuring the approach and providing a guideline for other centers.MethodsAn initial algorithm was discussed with all local stakeholders. Afterwards, the resulting algorithm was refined using input from international experts.ResultsEligible CDH infants: left-sided defect, observed to expected lung-to-head ratio ≥50%, gestational age at birth ≥37.0 weeks, and no major associated structural or genetic abnormalities. To facilitate fetal-to-neonatal transition, we propose to start stabilization with non-invasive respiratory support and to adjust this individually.ConclusionsInfants with mild CDH might benefit from an individualized approach for neonatal resuscitation. Herein, we present an algorithm that could serve as guidance for centers implementing this. congenital diaphragmatic hernia intubation spontaneous breathing approach neonatal resuscitation birth Pediatrics Ronny Knol verfasserin aut Suzan C. M. Cochius-den Otter verfasserin aut Arjan B. te Pas verfasserin aut Stuart B. Hooper verfasserin aut Calum T. Roberts verfasserin aut Calum T. Roberts verfasserin aut Neysan Rafat verfasserin aut Thomas Schaible verfasserin aut Willem P. de Boode verfasserin aut Robin van der Lee verfasserin aut Anne Debeer verfasserin aut Florian Kipfmueller verfasserin aut Charles C. Roehr verfasserin aut Charles C. Roehr verfasserin aut Charles C. Roehr verfasserin aut Irwin K. M. Reiss verfasserin aut Philip L. J. DeKoninck verfasserin aut Philip L. J. DeKoninck verfasserin aut In Frontiers in Pediatrics Frontiers Media S.A., 2013 10(2022) (DE-627)742738744 (DE-600)2711999-3 22962360 nnns volume:10 year:2022 https://doi.org/10.3389/fped.2022.945090 kostenfrei https://doaj.org/article/ff9897b6e87c48cdb10f6069cb47e85c kostenfrei https://www.frontiersin.org/articles/10.3389/fped.2022.945090/full kostenfrei https://doaj.org/toc/2296-2360 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2022
language	English
source	In Frontiers in Pediatrics 10(2022) volume:10 year:2022
sourceStr	In Frontiers in Pediatrics 10(2022) volume:10 year:2022
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	congenital diaphragmatic hernia intubation spontaneous breathing approach neonatal resuscitation birth Pediatrics
isfreeaccess_bool	true
container_title	Frontiers in Pediatrics
authorswithroles_txt_mv	Emily J. J. Horn-Oudshoorn @@aut@@ Ronny Knol @@aut@@ Suzan C. M. Cochius-den Otter @@aut@@ Arjan B. te Pas @@aut@@ Stuart B. Hooper @@aut@@ Calum T. Roberts @@aut@@ Neysan Rafat @@aut@@ Thomas Schaible @@aut@@ Willem P. de Boode @@aut@@ Robin van der Lee @@aut@@ Anne Debeer @@aut@@ Florian Kipfmueller @@aut@@ Charles C. Roehr @@aut@@ Irwin K. M. Reiss @@aut@@ Philip L. J. DeKoninck @@aut@@
publishDateDaySort_date	2022-01-01T00:00:00Z
hierarchy_top_id	742738744
id	DOAJ036061123
language_de	englisch
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callnumber-first	R - Medicine
author	Emily J. J. Horn-Oudshoorn
spellingShingle	Emily J. J. Horn-Oudshoorn misc RJ1-570 misc congenital diaphragmatic hernia misc intubation misc spontaneous breathing approach misc neonatal resuscitation misc birth misc Pediatrics Spontaneous breathing approach in mild congenital diaphragmatic hernia: A resuscitation algorithm
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topic_title	RJ1-570 Spontaneous breathing approach in mild congenital diaphragmatic hernia: A resuscitation algorithm congenital diaphragmatic hernia intubation spontaneous breathing approach neonatal resuscitation birth
topic	misc RJ1-570 misc congenital diaphragmatic hernia misc intubation misc spontaneous breathing approach misc neonatal resuscitation misc birth misc Pediatrics
topic_unstemmed	misc RJ1-570 misc congenital diaphragmatic hernia misc intubation misc spontaneous breathing approach misc neonatal resuscitation misc birth misc Pediatrics
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title	Spontaneous breathing approach in mild congenital diaphragmatic hernia: A resuscitation algorithm
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title_full	Spontaneous breathing approach in mild congenital diaphragmatic hernia: A resuscitation algorithm
author_sort	Emily J. J. Horn-Oudshoorn
journal	Frontiers in Pediatrics
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author_browse	Emily J. J. Horn-Oudshoorn Ronny Knol Suzan C. M. Cochius-den Otter Arjan B. te Pas Stuart B. Hooper Calum T. Roberts Neysan Rafat Thomas Schaible Willem P. de Boode Robin van der Lee Anne Debeer Florian Kipfmueller Charles C. Roehr Irwin K. M. Reiss Philip L. J. DeKoninck
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author-letter	Emily J. J. Horn-Oudshoorn
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title_sort	spontaneous breathing approach in mild congenital diaphragmatic hernia: a resuscitation algorithm
callnumber	RJ1-570
title_auth	Spontaneous breathing approach in mild congenital diaphragmatic hernia: A resuscitation algorithm
abstract	BackgroundInfants with a congenital diaphragmatic hernia (CDH) and expected mild pulmonary hypoplasia have an estimated survival rate of 90%. Current guidelines for delivery room management do not consider the individual patient's disease severity, but an individualized approach with spontaneous breathing instead of routine mechanical ventilation could be beneficial for the mildest cases. We developed a resuscitation algorithm for this individualized approach serving two purposes: improving the success rate by structuring the approach and providing a guideline for other centers.MethodsAn initial algorithm was discussed with all local stakeholders. Afterwards, the resulting algorithm was refined using input from international experts.ResultsEligible CDH infants: left-sided defect, observed to expected lung-to-head ratio ≥50%, gestational age at birth ≥37.0 weeks, and no major associated structural or genetic abnormalities. To facilitate fetal-to-neonatal transition, we propose to start stabilization with non-invasive respiratory support and to adjust this individually.ConclusionsInfants with mild CDH might benefit from an individualized approach for neonatal resuscitation. Herein, we present an algorithm that could serve as guidance for centers implementing this.
abstractGer	BackgroundInfants with a congenital diaphragmatic hernia (CDH) and expected mild pulmonary hypoplasia have an estimated survival rate of 90%. Current guidelines for delivery room management do not consider the individual patient's disease severity, but an individualized approach with spontaneous breathing instead of routine mechanical ventilation could be beneficial for the mildest cases. We developed a resuscitation algorithm for this individualized approach serving two purposes: improving the success rate by structuring the approach and providing a guideline for other centers.MethodsAn initial algorithm was discussed with all local stakeholders. Afterwards, the resulting algorithm was refined using input from international experts.ResultsEligible CDH infants: left-sided defect, observed to expected lung-to-head ratio ≥50%, gestational age at birth ≥37.0 weeks, and no major associated structural or genetic abnormalities. To facilitate fetal-to-neonatal transition, we propose to start stabilization with non-invasive respiratory support and to adjust this individually.ConclusionsInfants with mild CDH might benefit from an individualized approach for neonatal resuscitation. Herein, we present an algorithm that could serve as guidance for centers implementing this.
abstract_unstemmed	BackgroundInfants with a congenital diaphragmatic hernia (CDH) and expected mild pulmonary hypoplasia have an estimated survival rate of 90%. Current guidelines for delivery room management do not consider the individual patient's disease severity, but an individualized approach with spontaneous breathing instead of routine mechanical ventilation could be beneficial for the mildest cases. We developed a resuscitation algorithm for this individualized approach serving two purposes: improving the success rate by structuring the approach and providing a guideline for other centers.MethodsAn initial algorithm was discussed with all local stakeholders. Afterwards, the resulting algorithm was refined using input from international experts.ResultsEligible CDH infants: left-sided defect, observed to expected lung-to-head ratio ≥50%, gestational age at birth ≥37.0 weeks, and no major associated structural or genetic abnormalities. To facilitate fetal-to-neonatal transition, we propose to start stabilization with non-invasive respiratory support and to adjust this individually.ConclusionsInfants with mild CDH might benefit from an individualized approach for neonatal resuscitation. Herein, we present an algorithm that could serve as guidance for centers implementing this.
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title_short	Spontaneous breathing approach in mild congenital diaphragmatic hernia: A resuscitation algorithm
url	https://doi.org/10.3389/fped.2022.945090 https://doaj.org/article/ff9897b6e87c48cdb10f6069cb47e85c https://www.frontiersin.org/articles/10.3389/fped.2022.945090/full https://doaj.org/toc/2296-2360
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author2	Ronny Knol Suzan C. M. Cochius-den Otter Arjan B. te Pas Stuart B. Hooper Calum T. Roberts Neysan Rafat Thomas Schaible Willem P. de Boode Robin van der Lee Anne Debeer Florian Kipfmueller Charles C. Roehr Irwin K. M. Reiss Philip L. J. DeKoninck
author2Str	Ronny Knol Suzan C. M. Cochius-den Otter Arjan B. te Pas Stuart B. Hooper Calum T. Roberts Neysan Rafat Thomas Schaible Willem P. de Boode Robin van der Lee Anne Debeer Florian Kipfmueller Charles C. Roehr Irwin K. M. Reiss Philip L. J. DeKoninck
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doi_str	10.3389/fped.2022.945090
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up_date	2024-07-03T18:28:00.867Z
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To facilitate fetal-to-neonatal transition, we propose to start stabilization with non-invasive respiratory support and to adjust this individually.ConclusionsInfants with mild CDH might benefit from an individualized approach for neonatal resuscitation. 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