CDH Survival After a Protocol Overhaul at Cincinnati Children's
Carousel1 min read·Published Oct 2026

CDH Survival After a Protocol Overhaul at Cincinnati Children's

Interactive slide asking viewers to guess CDH survival rate after Cincinnati Children's protocol change.
Infographic showing CDH survival rate improvement from 70% to 80% at Cincinnati Children's Hospital.
Infographic showing six protocol changes for CDH management focused on lung protection at Cincinnati Children's.
Comparison chart showing improved survival and ventilator outcomes between old and new cohort babies at Cincinnati Children's.
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Carousel · Oct 2026 · 1 min read

In brief

In brief

Educational carousel documenting Cincinnati Children's protocol changes in CDH management and their impact on patient survival. Reviews the institutional approach to fetal intervention, delivery planning, and postnatal care strategies that contributed to improved outcomes in this complex congenital anomaly.

Written by the GCMD Library team from the carousel.

Slides

5 pages · click to turn to one

A three-column comparison layout with icons representing different surgical procedures. Each column contains statistical data, outcome metrics, and visual indicators showing success rates. Color-coded sections distinguish between the three treatment modalities, with graphical elements illustrating procedural differences and patient outcomes.

Fetal surgery. A social-media carousel made possible by Cincinnati Children's.
The text in the image

Pediatric Achalasia: Surgical Approach Comparison | Heller Myotomy | 78% Success Rate | Esophageal Dilatation | 45% Success Rate | POEM (Peroral Endoscopic Myotomy) | 99% Success Rate | 742 Cases Reviewed | Complication Rates | Training Requirements | Long-term Outcomes | Systematic Review | Pediatric Surgery

The text on each slide
  1. Made possible by | Cincinnati Children's changing the outcome together | CDH survival had been stuck at 70% for two decades. | After a protocol overhaul at Cincinnati Children's, where did it land? | Take a guess | __% | Make your call, then swipe. | Swipe right
  2. Made possible by | Cincinnati Children's changing the outcome together | AFTER 20 YEARS OF STASIS, CINCINNATI CHILDREN'S JUST BROKE THE 70% WALL. | CDH Survival | 70% → 80% | +10 points after two decades of no movement. | Here's what changed → | Swipe right
  3. Made possible by | Cincinnati Children's changing the outcome together | WHAT THEY CHANGED: | A system-by-system overhaul, Aug 2023 → Spring 2024. | Ventilator: peak pressure capped at 22 | ECMO: earlier initiation if needed | Repair: 12–24 hr on ECMO, days 4–8 off | BP support: hydrocortisone for every baby | Feeds: TPN until baby can feed by mouth | Sedation: scheduled drip, not PRN | The philosophy: Protect the lungs. Everything else falls in line. | Swipe right
  4. Made possible by Cincinnati Children's changing the outcome together | THE RESULTS: | 99 old-cohort babies vs. 36 new-cohort babies: | SURVIVAL | 70% BEFORE | 80% AFTER | MEDIAN VENTILATOR TIME | 70% BEFORE | 9 d ~50% DROP AFTER | ECMO SURVIVAL | 70% BEFORE | 55% AFTER | ECMO USE | 41% → 45% | Essentially unchanged — not driven by more ECMO. | Swipe right
  5. Made possible by | Cincinnati Children's changing the outcome together | THE PHILOSOPHY: | Paul Kingma, MD, PhD | Director, Bronchopulmonary Dysplasia (BPD) Center, Cincinnati Children's | Standardized protocols + gentle lungs. Not more interventions.
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