Respiratory management was extremely helpful. We used assisted pressure controlled ventilation in an attempt to secure the lowest possible airway pressures, administering inotropic agents and indodilators i.e., milrinone, dobutamine in an effort to maintain hemodynamic stability. The postoperative outcome was consistent with the prognosis. 1. Hartnett KS. Congenital diaphragmatic hernia: advanced physiology and care concepts. Adv Neonat Care. 2008;82:107-15. 2. Coté Ch J. Anestesia pediátrica: Anestesia para cirugía pediátrica y neonatal. En: Miller R. Anestesia de Miller. 5a ed. Madrid: Elsevier; 2005. p. 2396-97. 3. Steinhorn RH. Congenital diaphragmatic hernia Internet. Omaha: E-medicine; 2009. citado 2008 Ene 20 Disponible en: http://emedicine.medscape.com/article/978118-overviewe. 4. Holder AM, Klaassens M, Tibboel D, de Klein A, Lee B, Scott DA. Genetic factors in congenital diaphragmatic hernia. Am J Hum Genet. 2007;805:825-45. 5. De Lorimier AA, Tierney DF, Parker HR. Hypoplastic lungs in fetal lambs in surgically produced congenital diaphragmatic hernia. Surgery. 1967;62:12-7. 6. Narayan H, De Chazal R, Barrow M, McKeever P, Neale E. Familial congenital diaphragmatic hernia: prenatal diagnosis, management, and outcome. Prenat Diagn. 1993;1310:893-901. 7. Hedrick HL, Adzick NS. Congenital diaphragmatic hernia: Prenatal diagnosis and management. In: Rose BD editor, UpToDate in medicine. Wellesley: UpToDate; 2009. 8. Lewis N, Glick PL. Diaphragmatic hernias Internet. Omaha: E-medicine; 2008. citado 2008 Jun 2. Disponible en: http://emedicine.medscape.com/article/934824-overview. 9. Hansen TN, Corbet A, Ballard RA. Disorders of the chest wall, pleural cavity, and diaphragm. In: Taeusch HW, Ballard RA, Gleason CA editors. Avery´s Diseases of the Newborn. 8th Ed. Philadelphia: WB Saunders; 2005. p. 759-78. 11. Wung JT, Sahni R, Moffitt ST, Lipsitz E, Stolar CJ. Congenital diaphragmatic hernia: survival treated with very delayed surgery, spontaneous respiration, and no chest tube. J Pediatr Surg. 1995;303:406-9. 12. Logan JW, Rice HE, Goldberg RN, Cotten CM. Congenital diaphragmatic hernia: a systematic review and summary of best-evidence practice strategies. J Perinatol. 2007;279:535-49. 13. Lally KP, Paranka MS, Roden J, Georgeson K E, Wilson J M, Lillehei C W, et al. Congenital diaphragmatic hernia. Stabilization and repair on ECMO. Ann Surg. 1992;2165:569-73. 14. Gaxiola A, Varon J, Valladolid G. Congenital diaphragmatic hernia: an overview of the etiology and current management. Acta Paediatr. 2009;984:621-7. 15. Saura L, Castanon M, Prat J, Albert A, Caceres F, Moreno J, et al. Impact of fetal intervention on postnatal management of congenital diaphragmatic hernia. Eur J Pediatr Surg. 2007;176:404-7.
Se realizó una monitorización básica encaminada a la prevención de crisis hipóxicas, las cuales se presentaron en dos ocasiones relacionadas con el traslado de la paciente, que fueron detectadas oportunamente y manejadas de la misma forma.