Fernando Bullettin

15 timestamped statements across 1 collection — auto-found in recorded discussions, each timestamp jumps to the exact moment.

Featured statements

▶ Ep 19 · 3:02
I am not agree with that since you review the number of the center with a great number of babies with CDH that are doing ECMO, the survival of this patient is almost 50 or more%. So I don't know if when you read the total trial, not all the centers in Europe use ECMO.
quote · Congenital Diaphragmatic Hernia
▶ Ep 19 · 16:21
I got the result different what what the studies say in those babies that I have done the fund duplication. I haven't done another surgery for that. So, it's been a definitive repair both from the CDH and the fund obligation.
quote · Congenital Diaphragmatic Hernia

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Congenital Diaphragmatic Hernia 15 entries

Case-Based Journal Review: Congenital Diaphragmatic Hernia 2023

▶ Ep 19 · 1:46
quote We don't have fetal treatment for this patient right now. ↗
▶ Ep 19 · 3:02
epidemiological Centers with high CDH volume doing ECMO achieve survival of almost 50% or more in severe CDH ↗
▶ Ep 19 · 3:02
quote I am not agree with that since you review the number of the center with a great number of babies with CDH that are doing ECMO, the survival of this patient is almost 50 or more%. So I don't know if when you read the total trial, not all the centers in Europe use ECMO. ↗
▶ Ep 19 · 3:02
clinical Not all centers in the European FETO trials used ECMO, which may affect the apparent benefit of FETO ↗
▶ Ep 19 · 4:11
clinical In Europe, some maternal-fetal medicine centers perform FETO but then transfer patients to other centers for delivery and neonatal care ↗
▶ Ep 19 · 5:18
clinical A protocol of very early repair (8-10 hours after ECMO cannulation at 6-8 hours of life) has been implemented, though the speaker's feeling is it may not be doing better ↗
▶ Ep 19 · 7:04
clinical At least 4 reports confirm the data favoring early on-ECMO repair, representing a practice change ↗
▶ Ep 19 · 7:49
clinical Most commonly open approach is used; thoracoscopy is reserved for babies who don't need oxygen in the NICU, and conversion to open occurs if a patch is needed ↗
▶ Ep 19 · 9:04
opinion Prolonged operative time required for thoracoscopic repair in babies requiring inotropes or special ventilation (increasing CO2, decreasing pH) is not good for the patient ↗
▶ Ep 19 · 10:43
clinical Choice between muscle flap and mesh depends on the defect characteristics; mesh is usually used, but flap is chosen if there is good lift of diaphragm posteriorly ↗
▶ Ep 19 · 14:32
clinical Skeletal deformity is part of the CDH disease itself, making it unclear whether chest deformity is due to the patch or the underlying condition ↗
▶ Ep 19 · 14:32
clinical Synthetic patches pulling on ribs causing chest deformity makes sense in type A-D defects, but these defects are very rare ↗
▶ Ep 19 · 15:19
clinical Fundoplication is performed in type D defect patients who are on ECMO ↗
▶ Ep 19 · 16:21
quote I got the result different what what the studies say in those babies that I have done the fund duplication. I haven't done another surgery for that. So, it's been a definitive repair both from the CDH and the fund obligation. ↗
▶ Ep 19 · 16:21
clinical In the speaker's experience with type D ECMO patients receiving fundoplication, no subsequent surgery for reflux has been needed, representing definitive repair of both CDH and fundoplication ↗