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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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
Hi, another great video! Standing ovation from NYC!
@TalaTalksNICU
Жыл бұрын
Haha! Wish we could see that!! ha! Thanks for all your lovely comments :)
@laraeb2514
Жыл бұрын
@@TalaTalksNICU I would be happy to film it...wouldn't be the strangest thing filmed on the subway.🤣
@TalaTalksNICU
Жыл бұрын
LOL!!! That image just made my day!
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
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 :)
Great as usual, Thank U Dr Tala
@TalaTalksNICU
9 күн бұрын
Thanks so much for being here!
Watching from Nagpur, India....
@TalaTalksNICU
27 күн бұрын
Hello! So glad you're here!
Watching from the Kingdom of Saudi Arabia... Love it!!
@TalaTalksNICU
10 ай бұрын
Ahlan! So glad you’re here! Thank you!!
Beautiful great video😊❤ nicu fellow watching you from Syria
@TalaTalksNICU
Жыл бұрын
Hello! Is it Amar (my Arabic is not great!)? So happy that you found us and you've subscribed! Thank you!!
Thanks so much Dr Tala! Can you please consider doing videos on bradycardias/desaturations and airway abnormalities.
@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 :)
watching Dra. Tala from Saudi Arabia❤
@TalaTalksNICU
Жыл бұрын
So happy- thanks for letting us know!!!
Such a amazing video you share with us thank you tala I'm from Pakistan
@TalaTalksNICU
Жыл бұрын
Thank you so much for your continued support :)
🌹🌷🌹From Egypt thank you Dr. Tala
@TalaTalksNICU
Жыл бұрын
Thank you so much as always Mohamed!
@PROFKASPER
Жыл бұрын
@@TalaTalksNICU You are welcome Dr Tala
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
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
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 :)
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
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!!
hi, i am dr Puia from Mizoram, India. Enjoying your videos, keep up the good work, thanks
@TalaTalksNICU
9 ай бұрын
So glad you like them. Thank you so much- glad you’re watching from India :)
Watching from Oman
@TalaTalksNICU
Жыл бұрын
oh yay! I don't think anyone has written to us from Oman yet :)
You pronounced their names - let’s start there. That’s a respectful and professional opening
@TalaTalksNICU
Жыл бұрын
I practiced- but always could do better!. Thank you for realising all this- appreciate you!!
Do you have a lecture on the management yet
@TalaTalksNICU
Жыл бұрын
Monday! Ready to go :)
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
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
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
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
4 ай бұрын
@@carolinelpd7016Can you give any updates
@laadidaa8175
4 ай бұрын
@@carolinelpd7016 Can you give an update?
From middle East
@TalaTalksNICU
3 ай бұрын
So happy you’re here!