History of Medicine Series: Congenital Diaphragmatic Hernia

In this video, Dr. Jay Wilson, Senior Associate of Surgery and Critical Care at Boston Children’s Hospital and Associate Professor at Harvard Medical School, offers his perspective on the history of congenital diaphragmatic hernia management.

Watch on OPENPediatrics

Watch on YouTube

Released:

September 23, 2016

Audience:

Physicians

Learning Objectives

Describe the historical evolution of ventilatory and airway management strategies in congenital diaphragmatic hernia and their impact on survival
Explain how aggressive ventilation, alkalosis, and normalization of blood gases contributed to ventilator‑induced lung injury in infants with CDH
Analyze the shift toward gentle ventilation and permissive hypercapnia as lung‑protective strategies in the management of CDH
Identify the role of right ventricular failure and pulmonary hypertension in determining airway and ventilation priorities in CDH
Evaluate the importance of collaborative data collection and staging systems in guiding airway and ventilatory management decisions for CDH across centers

Author(s)

Jay Wilson, MD

Senior Associate Pediatric Surgeon | Boston Children's Hospital

Dennis Daniel, MD

Associate Program Director, Critical Care Medicine Fellowship

Associate, Critical Care Medicine

ECMO Medical Director, Medical-Surgical Intensive Care Unit (MSICU) | Boston Children's Hospital

Instructor of Anaesthesia | Harvard Medical School

Jefferey Burns, MD, MPH

Assoc. Chief Medical Officer, Critical Care Services; Shapiro Chair in Critical Care Medicine, Division of Critical Care MedicineDirector, OPENPediatrics; Sr. Assoc. in Critical Care Medicine; Department of Anesthesiology, Critical Care & Pain Medicine | Boston Children's Hospital

Professor of Anesthesia | Harvard Medical School

Citation

Wilson J, Daniel D, Burns JP. History of Medicine Series: Congenital Diaphragmatic Hernia. 9/2016. Online Video. OPENPediatrics. https://learn.openpediatrics.org/learn/course/internal/view/elearning/3203/history-of-medicine-series-congenital-diaphragmatic-hernia.