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10 terms

Congenital Diaphragmatic Hernia Test 1

Semester II Peds
STUDY
PLAY
During what weeks of gestation dose the diaphragm close?
Wks 5-10
What is the disease state known as if the diaphragm fails to close?
Congenital Diaphragmatic Hernia
What percent of Congenital Diaphragmatic Hernias are Left sided?
90%
A Left sided Congenital Diaphragmatic Hernia is known as...
A Right sided Congenital Diaphragmatic Hernia is known as...
Which is more common?
1. Bochdalek
2. Morgagni
3. Bochdalek (L side)
What is the usual cause of death in an infant with a Congenital Diaphragmatic Hernia?
Lung problems
What are three things that a child with a Congenital Diaphragmatic Hernia will present with?
1. Resp Insufficiency
2. Decreased Breath sounds
3. Scaphoid Abd
How is ventilation controled in a child with a Congenital Diaphragmatic Hernia?
Convetional ventilation with permissive hypercapnia.
When ventilating a child with a Congenital Diaphragmatic Hernia what is the goal in regards to:
Arterial saturation
Peak inspiratory pressure
PCO2?
1. PaO2 > 90%
2. PIP < 35 cm H2O
3. PCO2 60-65 mmHg
What gas would you avoid giving a Pt with a Congenital Diaphragmatic Hernia? What do these Pts have a high probability of?
1. N2O
2. Pneumothorax (N2O will make this worse)
What is Eventration?
Incomplete muscularization of the diaphragm.