Survival in neonatal XXXX without extracorporeal membrane oxygenation support.

@entity2914 @entity1 @entity649 @entity299
The experience with high-risk @entity2914 ( @entity2914 ) at an institution that does not offer extracorporeal membrane oxygenation (ECMO) was reviewed. Between January 1, 1983 and December 31, 1993, 38 @entity1 presented with Bochdalek-type @entity2914 . Excluded were two @entity1 with lethal @entity299 and four presenting after 4 hours of age. Thus, the authors identified 32 high-risk @entity1 . All had early @entity649 and were intubated within 5 hours of birth. Sixteen were inborn; 16 were referred to the Izaak Walton Killam @entity1 's Hospital (IWK) within 24 hours of birth. There were 19 males and 13 females. Three died before surgery could be attempted. Twenty-two survived, giving an overall survival rate of 69% (22 of 32). For 28 of the 32, the best preoperative postductal Pao2 (BPDPao2) was recorded. Fifteen of the 28 @entity1 had a BPDPao2 of greater than 100 mm Hg. Survival in this group was 14 of 15 (93%). Thirteen of the 28 @entity1 had a BPDPao2 of less than 100 mm Hg. Survival in this group was 5 of 13 (38%). These survival rates are comparable to those of centers offering ECMO. BPDPao2 appears to be a useful discriminating variable.
