European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2015
International Survey on the Management of Congenital Diaphragmatic Hernia.
СтатьяНазвание и аннотация: Перевод в очереди
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Zani Augusto, Eaton Simon, Puri Prem, Rintala Risto, Lukac Marija, Bagolan Pietro, Kuebler Joachim F, Friedmacher Florian, Hoellwarth Michael E, Wijnen Rene, Tovar Juan A, Pierro Agostino, EUPSA Network Office
Аннотация
AIM: This study aims to define patterns in the management of congenital diaphragmatic hernia (CDH).
METHODS: A total of 180 delegates (77% senior surgeons) from 44 (26 European) countries completed a survey at the 2014 European Pediatric Surgeons' Association meeting.
RESULTS: Overall, 34% of the surgeons work in centers that treat < 5 cases of CDH/y, 38% work in centers that treat 5 to 10 cases/y, and 28% work in centers that treat > 10 cases/y. Overall, 62% of the surgeons work in extra corporeal membrane oxygenation (ECMO) centers and 23% in fetal surgery centers. Prenatal work up and delivery: 47% surgeons request prenatal magnetic resonance imaging, 53% offer karyotyping, 22% perform a fetal intervention, 74% monitor head-to-lung ratio, and 55% administer maternal steroids. Delivery is via cesarean section for 47% surgeons, at 36 to 38 weeks for 71% surgeons, and in a tertiary care center for 94% of the surgeons. POSTNATAL MANAGEMENT: A total of 76% surgeons report elective intubation, 65% start antibiotics preoperatively, and 45% administer surfactant. In case of refractory hypoxia, 66% surgeons consider ECMO with a variable course. Parenteral feeding is started preoperatively by 56% of the surgeons. Only 13% of the surgeons request contrast studies preoperatively to rule out malrotation.
METHODS: A total of 180 delegates (77% senior surgeons) from 44 (26 European) countries completed a survey at the 2014 European Pediatric Surgeons' Association meeting.
RESULTS: Overall, 34% of the surgeons work in centers that treat < 5 cases of CDH/y, 38% work in centers that treat 5 to 10 cases/y, and 28% work in centers that treat > 10 cases/y. Overall, 62% of the surgeons work in extra corporeal membrane oxygenation (ECMO) centers and 23% in fetal surgery centers. Prenatal work up and delivery: 47% surgeons request prenatal magnetic resonance imaging, 53% offer karyotyping, 22% perform a fetal intervention, 74% monitor head-to-lung ratio, and 55% administer maternal steroids. Delivery is via cesarean section for 47% surgeons, at 36 to 38 weeks for 71% surgeons, and in a tertiary care center for 94% of the surgeons. POSTNATAL MANAGEMENT: A total of 76% surgeons report elective intubation, 65% start antibiotics preoperatively, and 45% administer surfactant. In case of refractory hypoxia, 66% surgeons consider ECMO with a variable course. Parenteral feeding is started preoperatively by 56% of the surgeons. Only 13% of the surgeons request contrast studies preoperatively to rule out malrotation.
Предметные рубрики MeSH
Anti-Bacterial AgentsAttitude of Health PersonnelCesarean SectionCombined Modality TherapyEuropeExtracorporeal Membrane OxygenationFemaleHealth Care SurveysHernias, Diaphragmatic, CongenitalHerniorrhaphyHumansInfant, NewbornPractice Patterns, Physicians'PregnancyPrenatal DiagnosisRespiratory System AgentsSteroidsSurveys and Questionnaires