Inpatient and N/IICU Clinical Pathway for the Pre and Post-operative Care
of the Infant with Congenital Diaphragmatic Hernia (CDH)

Admit to Neonatal Surgical Service in N/IICU

Enter Neonatology CDH Order Set
Adequate response
to interventions
Inadequate response
to interventions
Care Escalation
  • Notify surgical fellow and
    neonatology attending
  • Notify blood bank re: potential ECMO
  • Ensure airway patent, adequate sedation and bowel decompression
  • ECMO Indications/Contraindications
ECMO Management

Daily Interdisciplinary Assessment

Schedule repair when physiologic goals met
or as clinically indicated
  • Sedation
  • Pulmonary hypertension
  • Respiratory support
  • Nutrition
  • GERD
  • Preparing to hold baby