Congenital Diaphragmatic Hernia Clinical Trial
Official title:
Initiation of Resuscitative Care While on Placental Circulation for Infants With Congenital Diaphragmatic Hernia - a Randomized Pilot Trial
This study aims to measure the cardio-respiratory physiological consequences of initiating
resuscitation during placental transfusion (PT) with an intact umbilical cord in infants with
congenital diaphragmatic hernia (CDH). PT, mainly via delayed cord clamping, has been shown
to offer a higher circulating blood volume, less need for blood transfusion, less need for
inotropes in infants.
Currently infants with CDH receive immediate cord clamping (ICC) to facilitate immediate
resuscitation including immediate intubation and mechanical ventilation.
With the development of a resuscitation platform (iNSPiRE), resuscitative care can now be
commenced from birth in infants with CDH to benefit from PT.
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