Management of Congenital Diaphragmatic Hernia Treated With Extracorporeal Life Support: Interim Guidelines Consensus Statement From the Extracorporeal Life Support Organization

Yigit Guner^{1

2}, Tim Jancelewicz³, Matteo Di Nardo⁴, Peter Yu^{1

2}, Mary Brindle⁵, Adam M Vogel⁶, Sharada H Gowda⁷, Theresa R Grover⁸, Lindsay Johnston⁹, Burhan Mahmood¹⁰, Brian Gray¹¹, Rachel Chapman¹², Sarah Keene¹³, Natalie Rintoul¹⁴, John Cleary¹⁵, Amir H Ashrafi¹⁵, Matthew T Harting¹⁶; Elso CDH Interest Group

Affiliations

¹ From the Division of Pediatric Surgery, Children's Hospital of Orange County, Orange, California.
² Department of Surgery, University of California Irvine Medical Center, Orange, California.
³ Division of Pediatric Surgery, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, Tennessee.
⁴ Pediatric Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
⁵ Department of Surgery, Cumming School of Medicine, Alberta Children's Hospital, University of Calgary, Alberta.
⁶ Division of Pediatric Surgery Texas Children's Hospital, Department of Surgery, Baylor College of Medicine, Houston, Texas.
⁷ Division of Neonatology, Department of Pediatrics, Baylor College of Medicine, Texas Childrens Hospital, Houston, Texas.
⁸ Section of Neonatology, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado.
⁹ Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut.
¹⁰ Division of Newborn Medicine, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
¹¹ Division of Pediatric Surgery, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana.
¹² Neonatal Medicine Childrens Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, California.
¹³ Division of Neonatology, Emory University, Atlanta, Georgia.
¹⁴ Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
¹⁵ Department of Pediatrics, Division of Neonatology, Children's Hospital of Orange County, Orange, California.
¹⁶ Department of Pediatric Surgery, McGovern Medical School at the University of Texas Health Science Center, Houston and Children's Memorial Hermann Hospital, Houston, Texas.

PMID: 33512912
DOI: 10.1097/MAT.0000000000001338

Practice Guideline

Management of Congenital Diaphragmatic Hernia Treated With Extracorporeal Life Support: Interim Guidelines Consensus Statement From the Extracorporeal Life Support Organization

Yigit Guner et al. ASAIO J. 2021.

. 2021 Feb 1;67(2):113-120.

doi: 10.1097/MAT.0000000000001338.

Authors

Affiliations

¹ From the Division of Pediatric Surgery, Children's Hospital of Orange County, Orange, California.
² Department of Surgery, University of California Irvine Medical Center, Orange, California.
³ Division of Pediatric Surgery, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, Tennessee.
⁴ Pediatric Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
⁵ Department of Surgery, Cumming School of Medicine, Alberta Children's Hospital, University of Calgary, Alberta.
⁶ Division of Pediatric Surgery Texas Children's Hospital, Department of Surgery, Baylor College of Medicine, Houston, Texas.
⁷ Division of Neonatology, Department of Pediatrics, Baylor College of Medicine, Texas Childrens Hospital, Houston, Texas.
⁸ Section of Neonatology, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado.
⁹ Department of Pediatrics, Yale School of Medicine, New Haven, Connecticut.
¹⁰ Division of Newborn Medicine, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
¹¹ Division of Pediatric Surgery, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana.
¹² Neonatal Medicine Childrens Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, California.
¹³ Division of Neonatology, Emory University, Atlanta, Georgia.
¹⁴ Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
¹⁵ Department of Pediatrics, Division of Neonatology, Children's Hospital of Orange County, Orange, California.
¹⁶ Department of Pediatric Surgery, McGovern Medical School at the University of Texas Health Science Center, Houston and Children's Memorial Hermann Hospital, Houston, Texas.

PMID: 33512912
DOI: 10.1097/MAT.0000000000001338

Erratum in

Management Of Congenital Diaphragmatic Hernia Treated With Extracorporeal Life Support: Interim Guidelines Consensus Statement From The Extracorporeal Life Support Organization: Erratum.
[No authors listed] [No authors listed] ASAIO J. 2022 Jul 1;68(7):e132. doi: 10.1097/MAT.0000000000001726. Epub 2022 Jun 24. ASAIO J. 2022. PMID: 35763785 No abstract available.

Abstract

The management of infants with congenital diaphragmatic hernia (CDH) receiving extracorporeal life support (ECLS) is complex. Significant variability in both practice and prevalence of ECLS use exists among centers, given the lack of evidence to guide management decisions. The purpose of this report is to review existing evidence and develop management recommendations for CDH patients treated with ECLS. This article was developed by the Extracorporeal Life Support Organization CDH interest group in cooperation with members of the CDH Study Group and the Children's Hospitals Neonatal Consortium.

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Conflict of interest statement

Disclosure: The authors have no conflicts of interest to report.

References

1. Barbaro RP, Paden ML, Guner YS, et al. Pediatric extracorporeal life support organization registry international report 2016. ASAIO J. 2017; 63:456–463
1. Guner YS, Delaplain PT, Zhang L, et al. Trends in mortality and risk characteristics of congenital diaphragmatic hernia treated with extracorporeal membrane oxygenation. ASAIO J. 2019; 65:509–515
1. Jancelewicz T, Brindle ME. Prediction tools in congenital diaphragmatic hernia. Semin Perinatol. 2020; 44:151165
1. Snoek KG, Peters NCJ, van Rosmalen J, et al. The validity of the observed-to-expected lung-to-head ratio in congenital diaphragmatic hernia in an era of standardized neonatal treatment; a multicenter study. Prenat Diagn. 2017; 37:658–665
1. Ruano R, Lazar DA, Cass DL, et al. Fetal lung volume and quantification of liver herniation by magnetic resonance imaging in isolated congenital diaphragmatic hernia. Ultrasound Obstet Gynecol. 2014; 43:662–669

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Management of Congenital Diaphragmatic Hernia Treated With Extracorporeal Life Support: Interim Guidelines Consensus Statement From the Extracorporeal Life Support Organization

Affiliations

Management of Congenital Diaphragmatic Hernia Treated With Extracorporeal Life Support: Interim Guidelines Consensus Statement From the Extracorporeal Life Support Organization

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Erratum in

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Conflict of interest statement

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