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Narkoseführung

  • F.-J. Kretz
Part of the Kinderanästhesie book series (KINDERANAESTHES)

Zusammenfassung

Trotz verbesserter und intensivierter pränataler Diagnostik, Aufbau von spezialisierten Notarztsystemen, intensiver ärztlicher Weiterbildung und verbesserten anästhesiologisch-intensivmedizinischen Möglichkeiten ist die Letalität der kongenitalen Zwerchfellhernie über Jahrzehnte gleich hoch geblieben [4, 5, 6, 13, 23, 26, 28, 31, 33, 34, 37, 38]. Diese erstaunliche Entwicklung ist nur damit erklärbar, daß heute Neugeborene mit dieser vitalbedrohlichen Mißbildung kinderchirurgische Zentren erreichen und dann in die Letalitätsstatistik eingehen, die bislang postpartal ohne Diagnostik und therapeutische Intervention starben [19].

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Literatur

  1. 1.
    Abel M, Blum C, Pringsheim W, Ortlieb H, Waldmann D (1986) Die Primärversorgung respiratorisch insuffizienter Neugeborener mit kongenitalem Zwerchfelldefekt. Anästh Intensivier Notfallmed 21: 280–283CrossRefGoogle Scholar
  2. 2.
    Bartlett RH, Andrews AF, Toomasian JM, Haiduc NJ, Gazzaniga AB (1982) Extracorporeal membrane oxygenation for newborn respiratory failure: Fourty-five cases. Surgery 425–433Google Scholar
  3. 3.
    Baum WF, Brömme W, Fritz W (1982) Zur Behandlung der postoperativen Ateminsuffizienz bei Neugeborenen mit kongenitalem Zwerchfelldefekt. Z Kinderchir 36: 91–96PubMedGoogle Scholar
  4. 4.
    Bloss RS, Aranda JV, Beardmore HE (1981) Congenital diaphragmatic hernia–pathophysiology and pharmacologic support. Surgery 87: 4 /518Google Scholar
  5. 5.
    Bohn DJ, James I, Filier RM et al (1984) The relationship between paCO2 and ventilation parameters in predicting survival in congenital diaphragmatic hernia. J Pediatr Surg 19 6: 666PubMedCrossRefGoogle Scholar
  6. 6.
    Boix-Ochoa J, Peguero G, Seijo G, Natal A, Canals J (1974) Acid-base balance and blood gases in prognosis and therapy of congenital diaphragmatic hernia. J Pediatr Surg 9: 49PubMedCrossRefGoogle Scholar
  7. 7.
    Boix-Ochoa J, Natal A, Canals J, Seijo G, Peguero G (1977) The important influence of arterial blood gases on the prognosis of congenital diaphragmatic hernia. World J Surg 1: 783–787PubMedCrossRefGoogle Scholar
  8. 8.
    Bray RJ (1979) Congenital diaphragmatic hernia. Anaesthesia 34: 567–577PubMedCrossRefGoogle Scholar
  9. 9.
    Collins DL, Pomerance JJ, Travis KW, Turner SW, Pappelbaum SJ (1977) A new approach of congenital posterolateral diaphragmatic hernia. J Pediatr Surg 12: 2 /149PubMedCrossRefGoogle Scholar
  10. 10.
    Dibbins AW (1976) Neonatal diaphragmatic hernia: A physiologic challenge. Am J Surg 131: 408PubMedCrossRefGoogle Scholar
  11. 11.
    Eichelberger MR, Kettrich RG, Hoelzer DJ, Swedlow DB, Schnaufer L (1980) Agensis of the left diaphragm: surgical repair and physiologic consequences. J Pediatr Surg 15: 4 /395PubMedCrossRefGoogle Scholar
  12. 12.
    Ein SH, Barker G, Olley P, Shandling B, Simpson JS, Stephens CA, Filier RM (1980) The pharmakologie treatment of newborn diaphragmatic hernia - A 2-years evaluation. J Pediatr Surg 15: 4 /384PubMedCrossRefGoogle Scholar
  13. 13.
    Fong LV, Pemberton PJ (1985) Congenital diaphragmatic hernia and the management of persistent foetal circulation. Anaesth Intensive Care 13: 375–379PubMedGoogle Scholar
  14. 14.
    German JC, Bartlett RH, Gazzaniga AB, Huxtable RF, Amlie R, Sperling DR (1977) Pulmonary artery pressure monitoring in persistent fetal circulation (PFC). J Pediatr Surg 12: 6 /913PubMedCrossRefGoogle Scholar
  15. 15.
    German JC, Gazzaniga AB, Amlie R, Huxtable RF, Bartlett RH (1977) Management of pulmonary insufficiency in diaphragmatic hernia using extracorporeal circulation with a membrane oxygenator (ECMO). J Pediatr Surg 12: 6 /905PubMedCrossRefGoogle Scholar
  16. 16.
    Goetzman BW, Milstein JM (1979) Pulmonary vasodilator action of tolazoline. Pediatr Res 13: 942–944PubMedCrossRefGoogle Scholar
  17. 17.
    Graivier L (1974) Congenital diaphragmatic hernia. Southern Med J 67: 59PubMedCrossRefGoogle Scholar
  18. 18.
    Harrington J, Raphaely RC, Downes JJ (1982) Relationship of alveolar-arterial oxygen tension difference in diaphragmatic hernia of the newborn. Anesthesiology 56: 6 /473PubMedCrossRefGoogle Scholar
  19. 19.
    Harrison MR, Bjordal RI, Langmark F, Knutrud O (1978) Congenital diaphragmatic hernia: The hidden mortality. J Ped Surg 13: 3 /227CrossRefGoogle Scholar
  20. 20.
    Hatch DJ, Sumner E (1986) Neonatal anaesthesia and postoperative care. Arnold, London, p 131Google Scholar
  21. 21.
    Hislop A, Reid L (1976) Persistent hypoplasia of the lung after repair of congenital diaphragmatic hernia. Thorax 31: 450PubMedCrossRefGoogle Scholar
  22. 22.
    Irle U, Oelsnitz G von der, Schweder N, Willich E (1969) Zwerchfellbrüche beim Kind. Fortschr Med 87: 31 /1270Google Scholar
  23. 23.
    Joppich I (1971) Die großen Zwerchfellhernien beim Neugeborenen. Fortschr Med 89: 12 /523Google Scholar
  24. 24.
    Levin DL (1978) Morphologie analysis of the pulmonary vascular bed in congenital left-sided diaphragmatic hernia. J Pediatr 92: 805–809PubMedCrossRefGoogle Scholar
  25. 25.
    Levy RJ, Rosenthal A, Freed MD, Smith CD, Eraklis A, Nadas AS (1977) Persistent pulmonary hypertension in a newborn with congenital diaphragmatic hernia: Successful management with tolazoline. Pediatrics 60: 5 /740PubMedGoogle Scholar
  26. 26.
    Lewis MAH, Young DG (1969) Ventilatory problems with congenital diaphragmatic hernia. Anaesthesia 24: 4 /571PubMedCrossRefGoogle Scholar
  27. 27.
    Lochbühler H (1987) Anaesthesie bei angeborener Zwerchfellhernie. Anaesthesist 36: 280–284PubMedGoogle Scholar
  28. 28.
    Marshall A, Sumner E (1982) Improved prognosis in congenital diaphragmatic hernia: experiences of 62 cases over 2-year period. J R Soc Med 75: 8 /607PubMedGoogle Scholar
  29. 29.
    Mishalany HG, Nakada K, Wooley MM (1979) Congenital diaphragmatic hernias. Arch Surg 114: 1118PubMedGoogle Scholar
  30. 30.
    Moodie DS, Telander RL, Kleinberg F, Feldt RH (1978) Use of tolazoline in newborn infants with diaphragmatic hernia and severe cardiopulmonary disease. J Thorac Cardiovasc Surg 75: 5 /725PubMedGoogle Scholar
  31. 31.
    Murdock AI, Burrginton JB, Swyer PR (1971) Alveolar to arterial oxygen tension difference and venous admixture in newly born infants with congenital diaphragmatic herniation through the foramen of Bochdalek. Biol Neonate 17: 161–172PubMedCrossRefGoogle Scholar
  32. 32.
    Nakayama DK, Harrison MR, Chinn DH, Callen PW, Filly RA, Golbus MS, De Lorimier AA (1985) Prenatal diagnosis and natural history of the fetus with a congenital diaphragmatic hernia: Initial clinical experience. J Pediatr Surg 20:2/118–124PubMedCrossRefGoogle Scholar
  33. 33.
    Nielson OH, Jorgensen AF (1978) Congenital posterolateral diaphragmatic hernia factors affecting survival. Z Kinderchir 24: 3 /201Google Scholar
  34. 34.
    O’Callaghan JD, Saunders NR, Chatrath RR, Walker DR (1982) The management of neonatal posterolateral diaphragmatic hernia. Ann Thorac Surg 33: 2 /174PubMedCrossRefGoogle Scholar
  35. 35.
    Olivet RT, Rupp WM, Telander RL, Kaye MP (1978) Hemodynamics of congenital diaphragmatic hernia in lambs. J Pediatr Surg 13: 3 /231PubMedCrossRefGoogle Scholar
  36. 36.
    Peckham GJ, Fox WW (1978) Physiology factors affecting pulmonary artery pressure in infants with persistent pulmonary hypertension. J Pediatr 93:6/1005–1010PubMedCrossRefGoogle Scholar
  37. 37.
    Raphaely RC, Downes JJ (1973) Congenital diaphragmatic hernia: prediction of survival. J Pediatr Surg 8: 5 /815PubMedCrossRefGoogle Scholar
  38. 38.
    Reynolds M, Luck SR, Lappen R (1984) The „critical“neonate with diaphragmatic hernia: A 21-year perspective. J Pediatr Surg 19: 4 /364PubMedCrossRefGoogle Scholar
  39. 39.
    Rose-Spencer JA, Bloss RS, Beardmore HE (1981) Congenital posterolateral diaphragmatic hernia: a retrospective study. Can J Surg 24: 5 /515PubMedGoogle Scholar
  40. 40.
    Shochat SJ, Naeye RL, Ford WDA, Whitman V, Maiseis JM (1979) Congenital diaphragmatic hernia. Ann Surg 190: 3 /332PubMedCrossRefGoogle Scholar
  41. 41.
    Stevenson DK, Kasting DS, Darnall RA et al (1979) Refractory hypoxemia associated with neonatal pulmonary disease: The use and limitations of tolazoline. J Pediatr 95:4/595–599PubMedCrossRefGoogle Scholar
  42. 42.
    Sumner E, Frank JD (1981) Tolazoline in the treatment of congenital diaphragmatic hernias. Arch Dis Child 56: 350–353PubMedCrossRefGoogle Scholar
  43. 43.
    Vacanti JP, Crone RK, Murphy JD, Smith SD, Black PR, Reid L, Hendren WH (1984) The pulmonary hemodynamic response to perioperative anesthesia in the treatment of „high-risk“infants with congenital diaphragmatic hernia. J Pediatr Surg 19: 6 /672PubMedCrossRefGoogle Scholar
  44. 44.
    Weiß U, Willital GH (1986) Zwerchfelldefekt bei Neugeborenen: Erstmaßnahmen und adäquater Transport bestimmen die Überlebenschance. Notfallmedizin 12: 454Google Scholar
  45. 45.
    Wiener ES (1982) Congenital posterolateral diaphragmatic hernia. New dimensions in management. Surgery 92: 4 /670PubMedGoogle Scholar
  46. 46.
    Zollinger HU (1971) Pathologische Anatomie, Bd 2: Spezielle Pathologie, 3. überarb. Aufl. Thieme, Stuttgart New YorkGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1989

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  • F.-J. Kretz

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