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A hole in the diaphragm??! What is a CDH?!!/ Anatomy// Prognosis

In PART 1 of our 2 videos, we cover: what IS a CDH? How do the intestines get into the CHEST? What is the survival? What does the Xray look like? What FACTORS worsen the prognosis?? Are there different types of hernias?? Watch this video, and understand how the defect affects the lungs and its development.
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Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded!
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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References:
Chandrasekharan PK, Rawat M, Madappa R, Rothstein DH, Lakshminrusimha S. Congenital Diaphragmatic hernia - a review. Matern Health Neonatol Perinatol. 2017 Mar 11;3:6. doi: 10.1186/s40748-017-0045-1. PMID: 28331629; PMCID: PMC5356475.
Zani, A., Chung, W.K., Deprest, J. et al. Congenital diaphragmatic hernia. Nat Rev Dis Primers 8, 37 (2022). doi.org/10.1038/s41572-022-00...
Congenital Diaphragmatic Hernia: Maximizing Survival
Mark F. Weems, MD; Tim Jancelewicz, MD, MA; Hitesh S. Sandhu, MBBS
Neoreviews (2016) 17 (12): e705-e718.
doi.org/10.1542/neo.17-12-e705
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**TIMESTAMPS**
02:04 What is CDH?
08:34 Prognostic factors for CDH
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.

Пікірлер: 44

  • @laraeb2514
    @laraeb2514 Жыл бұрын

    Hi, another great video! Standing ovation from NYC!

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Haha! Wish we could see that!! ha! Thanks for all your lovely comments :)

  • @laraeb2514

    @laraeb2514

    Жыл бұрын

    @@TalaTalksNICU I would be happy to film it...wouldn't be the strangest thing filmed on the subway.🤣

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    LOL!!! That image just made my day!

  • @khairyelwerfeli
    @khairyelwerfeli Жыл бұрын

    As usual Dr Tala .. I’m from Egypt .. I actually saw many cases with CDH .. and unfortunately most of them didn’t survive … thanks a lot knowing the prognostic points for CDH Can’t wait for part 2 ❤

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Thank you so much Khairy! It is a sad disease- but good to know the numbers are getting better everywhere. Thanks so much for subscribing too :)

  • @drheshamelkordi8529
    @drheshamelkordi852916 күн бұрын

    Great as usual, Thank U Dr Tala

  • @TalaTalksNICU

    @TalaTalksNICU

    9 күн бұрын

    Thanks so much for being here!

  • @desire-dream8825
    @desire-dream8825Ай бұрын

    Watching from Nagpur, India....

  • @TalaTalksNICU

    @TalaTalksNICU

    27 күн бұрын

    Hello! So glad you're here!

  • @user-do4ff8dg8e
    @user-do4ff8dg8e10 ай бұрын

    Watching from the Kingdom of Saudi Arabia... Love it!!

  • @TalaTalksNICU

    @TalaTalksNICU

    10 ай бұрын

    Ahlan! So glad you’re here! Thank you!!

  • @user-ir3ge5mm2o
    @user-ir3ge5mm2o Жыл бұрын

    Beautiful great video😊❤ nicu fellow watching you from Syria

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Hello! Is it Amar (my Arabic is not great!)? So happy that you found us and you've subscribed! Thank you!!

  • @elisecoker6729
    @elisecoker6729 Жыл бұрын

    Thanks so much Dr Tala! Can you please consider doing videos on bradycardias/desaturations and airway abnormalities.

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Hello Elise- YES! Thanks for the reminder- we REALLY need to get around to this! Thanks so much for watching and for subscribing :)

  • @bernadetteanntabdi2545
    @bernadetteanntabdi2545 Жыл бұрын

    watching Dra. Tala from Saudi Arabia❤

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    So happy- thanks for letting us know!!!

  • @nadarali5570
    @nadarali5570 Жыл бұрын

    Such a amazing video you share with us thank you tala I'm from Pakistan

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Thank you so much for your continued support :)

  • @PROFKASPER
    @PROFKASPER Жыл бұрын

    🌹🌷🌹From Egypt thank you Dr. Tala

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Thank you so much as always Mohamed!

  • @PROFKASPER

    @PROFKASPER

    Жыл бұрын

    @@TalaTalksNICU You are welcome Dr Tala

  • @user-tv1np5xy9m
    @user-tv1np5xy9m Жыл бұрын

    A WONDERFUL LECTURE AS U HAVE ALWAYS BEEN, VERY SIMPLE AND INFORMATIVE AT THE SAME TIME. I LIKE UR WAY OF TEACHING VERY MUCH DR. TALA

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Thank you so much (my Arabic not great- is it Ibrahim?) We aim to be simple and informative- so that was a lovely compliment!! Thank you for subscribing too :)

  • @user-tv1np5xy9m

    @user-tv1np5xy9m

    Жыл бұрын

    @@TalaTalksNICU Thank U for responding on my comment Dr.Tala. I'm looking forward to the next lecture with interest .. All greetings to U from Egypt :)

  • @karimzaghloul1
    @karimzaghloul1 Жыл бұрын

    Hello dr tala,your videos are so much informative thank you for your efforts,can you please make videos about mechanical ventilation in the nicu?

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Hello Karim- so happy you find the videos informative. We're trying to figure out how to run a ventilator lecture with the actual vents- so can be as helpful as possible. We'll get to it soon- we promise!!

  • @klalawmpuia2001
    @klalawmpuia20019 ай бұрын

    hi, i am dr Puia from Mizoram, India. Enjoying your videos, keep up the good work, thanks

  • @TalaTalksNICU

    @TalaTalksNICU

    9 ай бұрын

    So glad you like them. Thank you so much- glad you’re watching from India :)

  • @talibII
    @talibII Жыл бұрын

    Watching from Oman

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    oh yay! I don't think anyone has written to us from Oman yet :)

  • @CuriousMind22
    @CuriousMind22 Жыл бұрын

    You pronounced their names - let’s start there. That’s a respectful and professional opening

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    I practiced- but always could do better!. Thank you for realising all this- appreciate you!!

  • @gitanjalilamichaney657
    @gitanjalilamichaney657 Жыл бұрын

    Do you have a lecture on the management yet

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Monday! Ready to go :)

  • @sarahjanedhel1556
    @sarahjanedhel1556 Жыл бұрын

    What about if CDH is detected earlier? My rainbow baby was diagnosed just the other day, at my 13 week ultrasound. :( Not sure yet how many organs are up there, but I'm assuming a lot as his heart is pushed all the way to his right side... they could see stomach and maybe intestines up there at this stage. :( Waiting for the MRI at 22 weeks feels unbearable after what we've already been through, having had a full-term stillbirth last time.

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Oh I’m so sorry- so sad about your previous baby- and now you’re going through this. That is just not right. The abnormality for all CDHs is made in the first trimester- the prognosis really depends on how everything progresses. We wish you the best possible outcome xx

  • @staciallen5635

    @staciallen5635

    Жыл бұрын

    @sarahjanedhel1556 Hi! Im so sorry to hear about your baby’s diagnosis. My daughter just turned one in May and has CDH. We received the diagnosis at our 20 week anatomy scan. My daughter was an extremely severe left-sided case, with almost every organ up including 30% of her liver. We were given an extremely poor prognosis (10% chance of survival, 8+ month long nicu stay, and they suggested termination due to her severity) in our home state (Arizona) so we temporarily relocated to Florida (Johns Hopkins All Childrens Hospital) where they have an entire CDH team and floor. After reviewing our ultrasounds and MRIs, they gave our baby a 90-95% chance of survival and told us they fully expect her to live a normal, healthy life. Dr Kays is a pediatric surgeon who know ONLY works with CDH babies because it’s his specialty. This center sees some of the most severe cases in the nation and still has a 90%+ survival outcome. My daughter was in the NICU for two months but is now absolutely THRIVING and you would never ever know she had any medical complexities at all. Please know there is hope for your baby! There are facebook support groups you can join and I’m always willing to chat with ANY diagnosed mom and answer any questions you have. I’ll be thinking of you guys!

  • @carolinelpd7016

    @carolinelpd7016

    7 ай бұрын

    Going through this now with one twin. 17 weeks and they said stomach up and heart pushed slightly right, I could see on the ultrasound it looked as though his heart was right and forward, stomach just behind - they haven’t told us anything else and waiting for a referral (we’re U.K.) to a different hospital. It feels like an age.

  • @laadidaa8175

    @laadidaa8175

    4 ай бұрын

    ​@@carolinelpd7016Can you give any updates

  • @laadidaa8175

    @laadidaa8175

    4 ай бұрын

    ​@@carolinelpd7016 Can you give an update?

  • @BernadetteTabdi-rl3le
    @BernadetteTabdi-rl3le3 ай бұрын

    From middle East

  • @TalaTalksNICU

    @TalaTalksNICU

    3 ай бұрын

    So happy you’re here!