Ventilatory management of the newborn undergoing diaphragmatic hernioplasty

Abstract

INTRODUCTION: The difficulties and differences of the newborn are more significant in thoracic surgery, especially in ventilatory management: instruments and techniques physically impossible to use in neonates, complex monitoring, especially E expiratory fraction of Carbon Dioxide (EtCO2), use of extracorporeal assistance; Therefore, it is vital to review perioperative management.

OBJECTIVES: To demonstrate the importance of the checklist in neonates undergoing thoracic surgery and highlight the importance of complete monitoring and ventilatory management of this type of patient.

CLINICAL CASE: Neonate 38 weeks gestation (SG), born by cesarean section with respiratory distress, intercostal and subcostal indrawing, critical, oxygen saturation 70%, acrocyanosis with left pneumothorax that resolves with chest tube placement and later with tomography right diaphragmatic hernia is evident plus herniation of the hepatic parenchyma of the left lobe and projection towards the right lung base.