The management of neonatal posterolateral diaphragmatic XXXX .

@entity1 @entity935 @entity2914 @entity520 @entity519 @entity547
Between March, 1978, and August, 1980, 7 neonates with a left posterolateral diaphragmatic @entity547 were seen in respiratory distress within 12 hours of birth. Each had severe @entity520 and @entity519 . They were immediately intubated and ventilated. Arterial and central venous lines were inserted, the @entity520 was partially corrected, and a @entity935 infusion of 5 microgram/kg/min was begun immediately. Continuous monitoring of arterial and venous pressures, core, and skin temperatures, blood gases, and pH was instituted. @entity2914 were repaired by direct suture in 5 neonates and by Gore-Tex patches in the other 2. The left lung in all @entity1 was hypoplastic. Ventilation and inotropic support were continued for 4 to 5 days post-operatively, and close control of acid-base balance was maintained. All the @entity1 are doing well. We consider the key to survival to be management of the dangerous combination of @entity520 (by enhancing peripheral and renal perfusion with @entity935 ) and @entity519 (by prolonged assisted ventilation).
