ECMO-/ECLS

If the LHR is greater than 1.4, the prognosis is better More recently, MRI and three dimensional ultrasound has been used to c ...

 Pre and postductal O2 saturation monitoring  QUIET ENVIROMENT  If patient has hypoxia, consider increasing FiO2, adjusting P ...

pCO2 in the immediate post-operative period. This is due to the CO2 insufflation that is required for a minimally invasive appro ...

Post Discharge Considerations Developmental assessment in neonatal follow-up clinic Chest X-ray q3 months during 1st year of lif ...

V. ESOPHAGEAL ATRESIA (EA) WITH OR WITHOUT TRACHEOESOPHAGEAL FISTULA (TEF) Esophageal atresia with or without tracheoesophageal ...

the time. Because there is an intact esophagus, these children typically present days to weeks later after birth with symptoms o ...

used instead of a Replogle in a baby with EA, the suction can potentially entrain air and/or oxygen that the baby has in the pha ...

literature exists on the advantages of ligating. If the fistula is not ligated initially, attention must be paid to how much of ...

Esophago-esophagostomy is preferred (may be tight). If unable to do so, consider gastric or colonic transposition. If unable to ...

discussion with attending SURGEON AND NEONATOLOGIST. The most experienced person should intubate these babies since repeated int ...

later). If the baby, shows discoordinated oral motor skills, he or she may need evaluation by speech therapy Evaluation for othe ...

Recurrent TEF occur seldomly. Surgeons attempt to put intervening tissue or graft(Surgisys) between the tracheal repair and the ...

VI. GASTROSCHISIS Gastroshisis is congenital defect of the anterior abdominal wall characterized by herniation of a variable amo ...

available, the bowel should be carefully wrapped in warm saline-soaked gauze. An OG tube for gastric decompression should be pla ...

(decreased preload due to caval compression), dampened pulse tracings of the lower extremities, decreased somatic NIRS, the baby ...

A PICC line is placed. TPN is started. Ampicillin and Gentamycin continue while a silo is in place. Final closure is usually ach ...

Bladder &/or cloacal exstrophy Skeletal Chromosomal Trisomy 21 Beckwith-Wiedemann Syndrome Gastrointestinal Diaphragmatic he ...

Work-up for associated anomalies must still be performed. This should include a cardiac echocardiogram, renal ultrasound, and ch ...

manifests in decrease urine output and acidosis. Vigilance should be exercised in monitoring these patients post-operatively. ...

VIII. INTESTINAL ATRESIAS The most common cause of neonatal intestinal obstruction is intestinal atresias and stenosis. Atresia ...