Management of Congenital Diaphragmatic Hernia Treated With Extracorporeal Life Support: Interim Guidelines Consensus Statement From the Extracorporeal Life Support Organization

Yigit Guner; Tim Jancelewicz; Matteo Di Nardo; Peter Yu; Mary Brindle; Adam M Vogel; Sharada H Gowda; Theresa R Grover; Lindsay Johnston; Burhan Mahmood; Brian Gray; Rachel Chapman; Sarah Keene; Natalie Rintoul; John Cleary; Amir H Ashrafi; Matthew T Harting; Elso CDH Interest Group

doi:10.1097/MAT.0000000000001338

Management of Congenital Diaphragmatic Hernia Treated With Extracorporeal Life Support: Interim Guidelines Consensus Statement From the Extracorporeal Life Support Organization

ASAIO J. 2021 Feb 1;67(2):113-120. doi: 10.1097/MAT.0000000000001338.

Authors

Yigit Guner^{1

2}, Tim Jancelewicz³, Matteo Di Nardo⁴, Peter Yu^{1

2}, Mary Brindle⁵, Adam M Vogel⁶, Sharada H Gowda⁷, Theresa R Grover⁸, Lindsay Johnston⁹, Burhan Mahmood¹⁰, Brian Gray¹¹, Rachel Chapman¹², Sarah Keene¹³, Natalie Rintoul¹⁴, John Cleary¹⁵, Amir H Ashrafi¹⁵, Matthew T Harting¹⁶; Elso CDH Interest Group

Affiliations

¹ From the Division of Pediatric Surgery, Children's Hospital of Orange County, Orange, California.
² Department of Surgery, University of California Irvine Medical Center, Orange, California.
³ Division of Pediatric Surgery, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, Tennessee.
⁴ Pediatric Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
⁵ Department of Surgery, Cumming School of Medicine, Alberta Children's Hospital, University of Calgary, Alberta.
⁶ Division of Pediatric Surgery Texas Children's Hospital, Department of Surgery, Baylor College of Medicine, Houston, Texas.
⁷ Division of Neonatology, Department of Pediatrics, Baylor College of Medicine, Texas Childrens Hospital, Houston, Texas.
⁸ Section of Neonatology, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado.
⁹ Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut.
¹⁰ Division of Newborn Medicine, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
¹¹ Division of Pediatric Surgery, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana.
¹² Neonatal Medicine Childrens Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, California.
¹³ Division of Neonatology, Emory University, Atlanta, Georgia.
¹⁴ Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
¹⁵ Department of Pediatrics, Division of Neonatology, Children's Hospital of Orange County, Orange, California.
¹⁶ Department of Pediatric Surgery, McGovern Medical School at the University of Texas Health Science Center, Houston and Children's Memorial Hermann Hospital, Houston, Texas.

PMID: 33512912
DOI: 10.1097/MAT.0000000000001338

Abstract

The management of infants with congenital diaphragmatic hernia (CDH) receiving extracorporeal life support (ECLS) is complex. Significant variability in both practice and prevalence of ECLS use exists among centers, given the lack of evidence to guide management decisions. The purpose of this report is to review existing evidence and develop management recommendations for CDH patients treated with ECLS. This article was developed by the Extracorporeal Life Support Organization CDH interest group in cooperation with members of the CDH Study Group and the Children's Hospitals Neonatal Consortium.

Publication types

Practice Guideline

MeSH terms

Consensus
Extracorporeal Membrane Oxygenation / methods*
Female
Hernias, Diaphragmatic, Congenital / therapy*
Humans
Infant
Infant, Newborn
Male