Question

You attend the birth of a baby with prenatally diagnosed severe congenital diaphragmatic hernia. What are the most appropriate steps as you begin your resuscitation?.

Answer 1

Given what we know, we can confirm that the most appropriate steps as you begin your resuscitation would be to intubate the newborn to allow the placement of an orogastric tube.

Why are these the correct steps?

The diagnosis of the newborn indicates that it will likely not have the ability to breathe on its own. Therefore, Endotracheal intubation is recommended in order to maintain an open airway. Once this is done, through this open airway we can place an orogastric tube which will allow for further treatment.

Therefore, we can confirm that the most appropriate steps as you begin your resuscitation would be to intubate the newborn to allow the placement of an orogastric tube.

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