Manejo preoperatorio para la hernia diafragmática congénita: directrices del Texas Children's Hospital
Preoperative management of congenital diaphragmatic hernia: Texas Children's Hospital guidelines
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La hernia diafragmática congénita es una afección rara pero potencialmente mortal en la que los órganos abdominales se hernian en la cavidad torácica, lo que conduce a la hipoplasia pulmonar y la dificultad respiratoria. Existe variabilidad inter-institucional para el manejo, y en este documento presenta las recomendaciones, basadas en evidencia, respecto al manejo en sala de partos, soportes respiratorio, hemodinámico y nutricional, sedación, y acceso vascular. Un adecuado manejo preoperatorio es fundamental para estabilizar a estos neonatos antes de la corrección quirúrgica, con el objetivo de mejorar la función pulmonar y el bienestar neonatal en general. En este documento, se detalla el enfoque preoperatorio empleado por el Texas Children's Hospital para el manejo de la hernia diafragmática congénita.
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