Congenital Diaphragmatic Hernia

Clinical Pathways promote evidence-based, safe, and high-value patient care by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject matter experts, informed by a methodical review of available evidence and consensus among committee members.

Clinical Pathway:

• Congenital Diaphragmatic Hernia – Delivery Room Resuscitation Algorithm
• Congenital Diaphragmatic Hernia – Pre-Operative Management Algorithm
• Congenital Diaphragmatic Hernia – Surgical Management Algorithm
• Congenital Diaphragmatic Hernia – Post-Operative Care Algorithm
• Congenital Diaphragmatic Hernia Synopsis – provides care standards employed for this clinical pathway

Inclusion criteria:

• Inclusion:
  • Neonates with suspected congenital diaphragmatic hernia
  • Neonates or infants diagnosed with congenital diaphragmatic hernia

Committee members involved in the development:

• Ekta Patel, DO | Neonatology | Committee Chair
• Jennie Godwin, DO | Neonatology | Committee Member
• John Daniel IV, MD, MS | Neonatology, Neonatal ECMO Director | Committee Member
• Megan Gubichuk, MD | Pulmonology | Committee Member
• Richard Hendrickson, MD, FAAP, FACS | Pediatric Surgery | Committee Member
• Elise Loughman, MD | Neonatal-Perinatal Fellow | Committee Member
• Debra Newton, RN, MSN, CCRN | Director Extracorporeal Support, ECMO Program, Apheresis Program | Committee Member
• Mary Hagerty, APRN, NNP-BC | Neonatology | Committee Member
• Christina Elliott, RN-NIC | Core Charge Nurse – Intensive Care Nursery | Committee Member
• Lucy Pappas, MS, RD, CSPCC LD | Clinical Nutrition Specialist IV, Nutrition Services | Committee Member
• Amy Schnack, MS, MPH, RD, LD, IBCLC | Clinical Nutrition Specialist II, Nutrition Services | Reviewer

Patient/Family Committee Member:

• Andrew Carr | Committee Member
• Barb Carr | Committee Member

EBP Committee Members:

• Todd Glenski, MD, MSHA, FASA | Anesthesiology, Evidence Based Practice
• Kelli Ott, OTD, OTR/L | Evidence Based Practice

Publication dates:

• Finalized date: 09/2024
• Next expected revision date: 09/2027

Concerns with content:

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These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.