By Philip L. Glick MD FAAP FACS, Richard Pearl MD FAAP FACS, Michael S. Irish MD FAAP FACS, Michael G. Caty MD
A concise, but whole scientific reference on pediatric surgical procedure within the enticing and hugely useful question-and-answer layout of The secrets and techniques Series®. In eighty chapters, the authors current authoritative, sensible assurance that may attract pediatric and basic surgeons in addition to pediatricians and first care physicians.
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What chest wall deformities are associated with congenital diaphragmatic hernia (CDH) survivors? Musculoskeletal growth of the chest may be affected by the pathophysiology of CDH as well as treatment of the disease. About 20% of patients with CDH develop a pectus excavatum defor mity, possibly due to the increased work of breathing. In addition, one series reports a 10% oc currence of thoracic scoliosis in patients with CDH. 24. Describe the variety of rib abnormalities that are seen incidentally on chest radiograph.
A rapid ventilatory rate of 40-60 breaths/minute is used. Meanwhile, venous and arterial lines are obtained peripherally and at the umbilicus so that fluids and sedation can be administered. In addition, pre- and postductal oxygen saturations can be measured to assess the degree of arterial oxygenation and ductal shunting. 19. Outline the physiologic parameters used to assess the neonate with CDH. Arterial blood gas measures (pre- and postductal) are used to assess the degree of right-to-left shunting.
The liquid also can be used to lavage the lung and cleanse it of debris. 29. What is perflubron? Why is it used in liquid ventilation? Perflubron (perfluorooctyl bromide) is the only medical-grade perfluorocarbon available for clinical use. Perfluorocarbons (PFCs) have several qualities that make them suitable for liquid ventilation, including high solubility for oxygen and carbon dioxide, poor systemic absorption, and poor solvency for surfactant. PFCs are clear, colorless, odorless, inert, and chemically and physiologically stable.