Episode notes
In this session from the 12th Annual Update Course in Pediatric Surgery, Drs. Rebecca Stark and Steven Lee from Seattle Children’s Hospital walk through the timing, technique, and controversies surrounding ECMO in severe congenital diaphragmatic hernia (CDH) cases.
Key Highlights:
- VV vs VA ECMO: While venovenous (VV) ECMO is gaining traction with improved cannulas, venoarterial (VA) ECMO remains the predominant choice for most centers treating CDH.
- When to initiate ECMO: Early intervention is often favored in high-risk CDH cases, especially when prenatal imaging suggests severe compromise.
- SPHERE protocol in decision-making: A structured approach from Michigan offers criteria for ECMO vs comfort care, but outcome prediction remains unreliable—50% ...
Keywords
pediatric surgerycdhcongenital diaphragmatic herniasurgerysome4pedsurgcongenitalpedsurgprenatalpediatric surgeonsECMOpediatric controversiessevere congenital diaphragmatic herniatimingtechniqueVVvenovenousvenoarterialcannulaspredominanthigh-risk CDH casesearly interventionSPHERE protocolSPHEREcomfort care