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A Left sided Congenital Diaphragmatic Hernia is known as...
A Right sided Congenital Diaphragmatic Hernia is known as...
Which is more common?
3. Bochdalek (L side)
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:
Peak inspiratory pressure
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?
2. Pneumothorax (N2O will make this worse)
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