Infant with Congenital Diaphragmatic Hernia Clinical Pathway, Pre and Post-operative Care — Inpatient and ICU
Infant with Congenital Diaphragmatic Hernia Clinical Pathway, Pre and Post-operative Care — Inpatient and ICU
Goals
Improve outcomes and enhance recovery by:
- Standardizing clinical assessments and interventions
- Interdisciplinary collaboration
- Engaging in family partnership through each phase of care
Preoperative Goals
- Cardio-respiratory stability
- FiO2 < 50%
- Resolved or non-reactive PH
Intraoperative Goals
- Maintenance of euthermia and adequate ventilation, oxygenation
and hemodynamics - Thermoregulation
Post-operative Care Goals
- Adequate pain control
- Prevention of surgical site infection/incision care
- Maintenance of respiratory stability
Metrics
- Time to full enteral nutrition with adequate growth trajectory
- Time to extubation
- Length of stay