In the delivery room, which of the following are recommended to manage a newborn with a CDH?
1) Administer oxygen.
2) Begin bag and mask manual ventilation.
3) Intubate and ventilate the neonate.
4) Place the newborn in the Trendelenburg position.

Question

Quizplus · Accepted Answer

In the case of a newborn with Congenital Diaphragmatic Hernia (CDH), it is recommended to administer oxygen and intubate and ventilate the neonate to ensure adequate oxygenation and ventilation while minimizing the risk of further increasing the pressure in the abdomen that could exacerbate the herniation. Bag and mask ventilation is generally avoided as it can inflate the stomach and intestines, increasing pressure on the diaphragm and worsening the herniation. The Trendelenburg position is not recommended for these patients as it can also increase abdominal pressure and worsen respiratory distress.

In the Delivery Room, Which of the Following Are Recommended