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Respiratory Management for the Infant with Congenital Diaphragmatic Hernia.

Respiratory Management for the Infant with Congenital Diaphragmatic Hernia.

期刊: Clinics in perinatology 日期: 2026-06-01 PMID: 42276721 DOI: 10.1016/j.clp.2026.02.002 浏览: 36
作者: Yang MJ, Douglass M, Carpenter RJ, Yoder BA
MJ, Y., M, D., RJ, C., & BA, Y. (2026). Respiratory Management for the Infant with Congenital Diaphragmatic Hernia.. Clinics in perinatology. https://doi.org/10.1016/j.clp.2026.02.002
MJ Y, M D, RJ C, BA Y. Respiratory Management for the Infant with Congenital Diaphragmatic Hernia.. Clinics in perinatology. 2026; doi: 10.1016/j.clp.2026.02.002
MJ Y, M D, RJ C, et al. Respiratory Management for the Infant with Congenital Diaphragmatic Hernia.[J]. Clinics in perinatology. 2026. DOI: 10.1016/j.clp.2026.02.002.
@article{mj2026,
  author = {Yang MJ and Douglass M and Carpenter RJ and Yoder BA},
  title = {Respiratory Management for the Infant with Congenital Diaphragmatic Hernia.},
  journal = {Clinics in perinatology},
  year = {2026},
  doi = {10.1016/j.clp.2026.02.002},
  note = {PMID: 42276721},
}
TY  - JOUR
AU  - Yang MJ
AU  - Douglass M
AU  - Carpenter RJ
AU  - Yoder BA
TI  - Respiratory Management for the Infant with Congenital Diaphragmatic Hernia.
T2  - Clinics in perinatology
PY  - 2026
DO  - 10.1016/j.clp.2026.02.002
AN  - PMID:42276721
ER  - 

摘要

Congenital diaphragmatic hernia (CDH) is a complex neonatal condition characterized by pulmonary hypoplasia and pulmonary hypertension, requiring specialized ventilatory management from birth through postoperative care. This article synthesizes the current evidences and evolving strategies for optimizing respiratory support in CDH, emphasizing the importance of gentle ventilation to minimize lung injury and improve outcomes. We discuss delivery room resuscitation protocols, initial ventilator settings, and the comparative roles of conventional mechanical ventilation and high-frequency ventilation. Despite advances, significant variability persists in practice, underscoring the need for high-quality clinical trials to refine evidence-based guidelines and reduce morbidity and mortality in this vulnerable population.

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