Optimal timing of congenital diaphragmatic hernia repair in infants on extracorporeal membrane oxygenation

Amita A Desai; Daniel J Ostlie; David Juang

doi:10.1053/j.sempedsurg.2014.11.004

Optimal timing of congenital diaphragmatic hernia repair in infants on extracorporeal membrane oxygenation

Semin Pediatr Surg. 2015 Feb;24(1):17-9. doi: 10.1053/j.sempedsurg.2014.11.004. Epub 2014 Nov 7.

Authors

Amita A Desai¹, Daniel J Ostlie², David Juang³

Affiliations

¹ Children's Mercy Hospital and Clinics, Department of Surgery, Kansas City, Missouri 64108.
² University of Wisconsin - Madison, Department of Surgery Madison, Wisconsin 53792.
³ Children's Mercy Hospital and Clinics, Department of Surgery, Kansas City, Missouri 64108. Electronic address: [email protected].

PMID: 25639805
DOI: 10.1053/j.sempedsurg.2014.11.004

Abstract

Extracorporeal membrane oxygenation (ECMO) is a vital pre-operative adjunct for the stabilization of patients with severe congenital diaphragmatic hernia (CDH) that develop cardiorespiratory failure. The optimal timing of diaphragmatic repair in patients with CDH that require ECMO remains controversial. This article offers a review of the data available addressing the risks and outcomes of patients who require ECMO support with regard to timing of repair.

Keywords: Anti-fibrinolytic; Bleeding; Congenital diaphragmatic hernia; Extracorporeal.

Publication types

Review

MeSH terms

Diaphragm / surgery
Extracorporeal Membrane Oxygenation*
Hernias, Diaphragmatic, Congenital / surgery*
Humans
Risk Factors
Time Factors