Aliases:
CDH Repair

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Check transthoracic echocardiography results. This may reveal congenital heart-defects, evidence of pulmonary hypertension or right ventricular-failure.

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Nov 23, 2012
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Get a good idea of what the patient's baseline observations are before starting to help determine requirements for analgesia, volume, or inotropes.

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Mar 07, 2012
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May have a prostaglandin infusion running to maintain the patency of the ductus arteriosus to minimise pulmonary hypertension and manage right ventricular failure.

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Feb 15, 2012
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Pancuronium is kept in the fridge in the yellow cupboard in the patients room in the fridge.

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Mar 07, 2012
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Clarify IV access and line dead space

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Mar 07, 2012
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Minimise or avoid mask ventilation. Gastric insufflation may result in respiratory failure #ref

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Aug 31, 2011
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Surgical access in neonates is frequently a subcostal incision

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Feb 16, 2012
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If using the NICU ventilator you will be unable to administer volatile anaesthetic agent and will have to rely on intravenous anaesthesia.

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Feb 16, 2012
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Be cautious administering intravenous fluids. Intentivists like to generally keep these patients dry to avoid pulmonary oedema which would complicate ventilation in this patient population with an already borderline lung function.

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Mar 20, 2012
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Have cross-matched blood available.

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Feb 15, 2012
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If requiring blood, consider that one paediatric unit of blood will supply approximately 15ml/kg volume. One adult packed cell unit (~350ml) is approximately 100ml/kg. If it is likely that more than 15ml/kg of blood will be required, one adult unit is probably more appropriate.

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Feb 17, 2012
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A significant amount of heat is lost through the open laparotomy

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Mar 07, 2012
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If being performed in theater, warm the theater 1-2hrs before the neonate/infant arrives

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Jan 27, 2013
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Place a warm air duct at the head of the patient and cover the infant with a tranparent plastic drape with a circular hole into the middle to expose the surgical site.

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