ECMO-/ECLS

Classification Type 1: membranous atresia with intact mesentery Type 2: blind end with intact mesentery Type 3a: blind end with ...

one should look rule out the presence of asplenia/polysplenia or biliary atresia at the time of exploration. Trisomy 21 is seen ...

Pre-operatively, an OG tube should be placed for decompression. Fluid losses are replaced. Evaluation for other anomalies should ...

In patients with short gut (<40 cm of small intestine), one should monitor for malabsorption and diarrhea (reducing substance ...

IX. HIRSCHSPRUNG DISEASE (CONGENITAL AGANGLIONOSIS) HIrschprung disease results from a congenital absence of intramuscular (Auer ...

An abdominal Xray usually shows evidence of distal obstruction in cases of rectosigmoid Hirschprung. A contrast enema would show ...

performed conventionally with a laparotomy,or using laparoscopic techniques. In cases of rectosigmoid Hirschprung, a wholly tran ...

patient is kept NPO. The most important part of therapy is frequent rectal irrigations to evacuate the colonic stool burden. Obs ...

Males are more at risk to have high lesions. The anal opening can be in the perineum, anywhere along the urethra, bladder neck, ...

If the child has a distended abdomen, gastric decompression should be initiated. A female with a low lesion (rectoperineal fistu ...

XI. MALROTATION OF THE MIDGUT In general, rotational anomalies are associated with any diaphragmatic or abdominal wall defect wh ...

Malrotation may present as midgut vovulus, vomiting, or asymptomatic. Midgut volvulus can occur in anatomic configurations where ...

detorsed since he may need fluid or intotropes after detorsing. If the bowel is compromised, wrap in warm and moist guaze and wa ...

intervention if the following if hydrops fetalis is present. Hydrops is a sign of in utero cardiac failure due to the physiologi ...

and extend below the diaphragm. The presence and location of these vessels should be identified by imaging preoperatively as ina ...

Management Some cystic lung lesions shrink or disappear during gestation. Perinatologists and fetal surgeons recommend that the ...

Chapter 18 MEDICAL CONDITIONS IN THE NEONATAL ICU Utpala Das, MD Jennifer Leidel, MD I. RESPIRATORY DISTRESS SYNDROME (RDS) & ...

Antenatal steroids speed maturation of the lung, increasing surfactant production and decreasing the severity of RDS. The accept ...

I I. P A T E N T D U C T U S A R T E R I O S U S ( P D A ) PDA is the most commonly diagnosed cardiac condition in the NICU. It ...

Factors that encourage continued patency of the ductus include prematurity, RDS, surfactant therapy, hypoxia, anemia, hypervolem ...