Congenital diaphragmatic hernia secondary prevention: Difference between revisions
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==Overview== | ==Overview== | ||
[[Secondary prevention]] occurs once the disease has developed and aims to prevent progression and development of further complications. CDH related complications include [[tracheobronchomalacia]], [[pneumothorax]], [[pulmonary hypertension]], pulmonary infections and [[respiratory failure]]. | |||
==Secondary Prevention== | ==Secondary Prevention== | ||
{| class="wikitable" | |||
|+Secondary Prevention | |||
!Complication | |||
!Preventative Methods | |||
|- | |||
|[[Pneumothorax]] | |||
| | |||
*hhile cannulating the [[subclavian]] vein, [[Infraclavicular fossa|infraclavicular]] approach should be preferred to avoid tension pneumothorax <ref name="pmid15182264">{{cite journal| author=Baumann MH, Noppen M| title=Pneumothorax. | journal=Respirology | year= 2004 | volume= 9 | issue= 2 | pages= 157-64 | pmid=15182264 | doi=10.1111/j.1440-1843.2004.00577.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15182264 }}</ref><ref name="pmid21213209">{{cite journal| author=Haynes D, Baumann MH| title=Management of pneumothorax. | journal=Semin Respir Crit Care Med | year= 2010 | volume= 31 | issue= 6 | pages= 769-80 | pmid=21213209 | doi=10.1055/s-0030-1269837 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21213209 }}</ref><ref name="pmid26557487">{{cite journal| author=Kornbau C, Lee KC, Hughes GD, Firstenberg MS| title=Central line complications. | journal=Int J Crit Illn Inj Sci | year= 2015 | volume= 5 | issue= 3 | pages= 170-8 | pmid=26557487 | doi=10.4103/2229-5151.164940 | pmc=4613416 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26557487 }}</ref> | |||
*all the surgical procedures that can rupture [[Pleural cavity|pleura]] such as transbronchial and [[Transthoracic needle aspiration|transthoracic]] interventions should be performed under [[ultrasound]] guidance | |||
|- | |||
|[[Respiratory failure]]/ [[Pulmonary infection|Pulmonary infections]] <ref name="pmid18359428">{{cite journal |vauthors=Sweet DD, Naismith A, Keenan SP, Sinuff T, Dodek PM |title=Missed opportunities for noninvasive positive pressure ventilation: a utilization review |journal=J Crit Care |volume=23 |issue=1 |pages=111–7 |date=March 2008 |pmid=18359428 |doi=10.1016/j.jcrc.2007.04.002 |url=}}</ref> | |||
| | |||
* control of primary illness | |||
* administration of [[influenza]] and [[Pneumococcal conjugate vaccine|pneumococcal]] vaccinations | |||
|- | |||
|[[Gastroesophageal reflux disease|Gastroesophageal reflux]] <ref name="pmid32310536">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume= | issue= | pages= | pmid=32310536 | doi= | pmc= | url= }}</ref><ref name="pmid15654800">{{cite journal| author=DeVault KR, Castell DO, American College of Gastroenterology| title=Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease. | journal=Am J Gastroenterol | year= 2005 | volume= 100 | issue= 1 | pages= 190-200 | pmid=15654800 | doi=10.1111/j.1572-0241.2005.41217.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15654800 }}</ref> | |||
| | |||
* frequent and small meals | |||
* avoid laying down for 3 hours after a meal | |||
* head end of the bed elevated | |||
|- | |||
|[[kidney stones]] <ref name="pmid8176602">{{cite journal| author=Lund DP, Mitchell J, Kharasch V, Quigley S, Kuehn M, Wilson JM| title=Congenital diaphragmatic hernia: the hidden morbidity. | journal=J Pediatr Surg | year= 1994 | volume= 29 | issue= 2 | pages= 258-62; discussion 262-4 | pmid=8176602 | doi=10.1016/0022-3468(94)90329-8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8176602 }}</ref><ref name="pmid28966756">{{cite journal| author=Assadi F, Moghtaderi M| title=Preventive Kidney Stones: Continue Medical Education. | journal=Int J Prev Med | year= 2017 | volume= 8 | issue= | pages= 67 | pmid=28966756 | doi=10.4103/ijpvm.IJPVM_17_17 | pmc=5609393 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=28966756 }}</ref> | |||
| | |||
* diet low in salt | |||
* diet high in calcium and magnesium | |||
* increased fluid intake | |||
|} | |||
<br /> | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 09:42, 24 April 2022
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Arooj Naz, M.B.B.S
Overview
Secondary prevention occurs once the disease has developed and aims to prevent progression and development of further complications. CDH related complications include tracheobronchomalacia, pneumothorax, pulmonary hypertension, pulmonary infections and respiratory failure.
Secondary Prevention
| Complication | Preventative Methods |
|---|---|
| Pneumothorax |
|
| Respiratory failure/ Pulmonary infections [4] |
|
| Gastroesophageal reflux [5][6] |
|
| kidney stones [7][8] |
|
References
- ↑ Baumann MH, Noppen M (2004). "Pneumothorax". Respirology. 9 (2): 157–64. doi:10.1111/j.1440-1843.2004.00577.x. PMID 15182264.
- ↑ Haynes D, Baumann MH (2010). "Management of pneumothorax". Semin Respir Crit Care Med. 31 (6): 769–80. doi:10.1055/s-0030-1269837. PMID 21213209.
- ↑ Kornbau C, Lee KC, Hughes GD, Firstenberg MS (2015). "Central line complications". Int J Crit Illn Inj Sci. 5 (3): 170–8. doi:10.4103/2229-5151.164940. PMC 4613416. PMID 26557487.
- ↑ Sweet DD, Naismith A, Keenan SP, Sinuff T, Dodek PM (March 2008). "Missed opportunities for noninvasive positive pressure ventilation: a utilization review". J Crit Care. 23 (1): 111–7. doi:10.1016/j.jcrc.2007.04.002. PMID 18359428.
- ↑ "StatPearls". ( ). 2022: . PMID 32310536 Check
|pmid=value (help). - ↑ DeVault KR, Castell DO, American College of Gastroenterology (2005). "Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease". Am J Gastroenterol. 100 (1): 190–200. doi:10.1111/j.1572-0241.2005.41217.x. PMID 15654800.
- ↑ Lund DP, Mitchell J, Kharasch V, Quigley S, Kuehn M, Wilson JM (1994). "Congenital diaphragmatic hernia: the hidden morbidity". J Pediatr Surg. 29 (2): 258–62, discussion 262-4. doi:10.1016/0022-3468(94)90329-8. PMID 8176602.
- ↑ Assadi F, Moghtaderi M (2017). "Preventive Kidney Stones: Continue Medical Education". Int J Prev Med. 8: 67. doi:10.4103/ijpvm.IJPVM_17_17. PMC 5609393. PMID 28966756.