Congenital diaphragmatic hernia secondary prevention: Difference between revisions

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!Complication
!Complication
!Preventative Methods
!Preventative Methods
|-
|[[pulmonary hypertension|Pulmonary Hypertension]],
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* [[High-frequency ventilation]] and gentle ventilation; these help to reduce the barotrauma <ref name="pmid18051475">{{cite journal| author=Okuyama H| title=[Current and future strategy in the treatment of congenital diaphragmatic hernia]. | journal=Nihon Geka Gakkai Zasshi | year= 2007 | volume= 108 | issue= 6 | pages= 325-8 | pmid=18051475 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18051475  }}</ref>
* Improvement of condition with [[nitric oxide]] and [[prostaglandin-E1]]
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|[[Pneumothorax]]
|[[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 surgical procedures that can rupture [[Pleural cavity|pleura]] such as transbronchial and [[Transthoracic needle aspiration|transthoracic]] interventions should be performed under [[ultrasound]] guidance
*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>
|[[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>
|
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*control of primary illness
*Aontrol of primary illness
*administration of [[influenza]] and [[Pneumococcal conjugate vaccine|pneumococcal]] vaccinations
*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>
|[[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
*Frequent and small meals
*avoid laying down for 3 hours after a meal
*Avoid laying down for 3 hours after a meal
*head end of the bed elevated
*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>
|[[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>
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*diet low in salt
*Diet low in salt
*diet high in calcium and magnesium
*Diet high in calcium and magnesium
*increased fluid intake
*Increased fluid intake
|}
|}
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Revision as of 10:02, 24 April 2022

Congenital diaphragmatic hernia Microchapters

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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. Early screening may assist in complication prevention. Genetic counselling should be offered to all affected families as well as the importance of regular follow up. [1]

Secondary Prevention

Secondary Prevention
Complication Preventative Methods
Pulmonary Hypertension,
Pneumothorax
  • All surgical procedures that can rupture pleura such as transbronchial and transthoracic interventions should be performed under ultrasound guidance
Respiratory failure/ Pulmonary infections [3]
Gastroesophageal reflux [4][5]
  • Frequent and small meals
  • Avoid laying down for 3 hours after a meal
  • Head end of the bed elevated
kidney stones [6][7]
  • Diet low in salt
  • Diet high in calcium and magnesium
  • Increased fluid intake


References

  1. ↑ "StatPearls".   ( ). 2022:  . PMID 32310536 Check |pmid= value (help).
  2. ↑ Okuyama H (2007). "[Current and future strategy in the treatment of congenital diaphragmatic hernia]". Nihon Geka Gakkai Zasshi. 108 (6): 325–8. PMID 18051475.
  3. ↑ 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.
  4. ↑ "StatPearls".   ( ). 2022:  . PMID 32310536 Check |pmid= value (help).
  5. ↑ 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.
  6. ↑ 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.
  7. ↑ 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.

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