Your choise in the case

[Alex]

Your choise in the case:

Observation, how long time?

Surgeon, the time of intervention?

2 kg, term male baby, SGA.

[Stefan Johansson]

Could you please give us some more clinical information?

[Guest jammaltaleb]

hi

liver inventration intrathoracic.

[Alex]

In clinic: moderate distress. Rare apnea (1 per 2-3 days)

Respirator noise in the right side is weakness (without NCPAP – absent).

Respiratory support: NCPAP3-5. FiO2 0.21-0.25. PSV just for CT.

Heart – small muscular interventricular defect (2 mm).

Double-side 1-2 size hydronephrosis.

Deformations of radiocarpal, and ankle.

Laboratory tests are normal.

pH 7,25-7,35. pCO2 -70-75.

Full tube enteral nutrition.

Genetic tests are in work.

Edited July 19, 2009 by Alex

[Stefan Johansson]

Our surgeons opt for early closure of diagphragmatic hernias, during the first week of life.

[Alex]

Many thanks, Stefan. We do not have surgeon unit, and this case we provide respiratory support 3 weeks before closer diaphragmatic hernia. It not rule but it happened.