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A hole in the diaphragm??! What is a CDH?!!/ Anatomy// Prognosis 

Tala Talks NICU
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In PART 1 of our 2 videos, we cover: what IS a CDH? How do the intestines get into the CHEST? What is the survival? What does the Xray look like? What FACTORS worsen the prognosis?? Are there different types of hernias?? Watch this video, and understand how the defect affects the lungs and its development.
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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References:
Chandrasekharan PK, Rawat M, Madappa R, Rothstein DH, Lakshminrusimha S. Congenital Diaphragmatic hernia - a review. Matern Health Neonatol Perinatol. 2017 Mar 11;3:6. doi: 10.1186/s40748-017-0045-1. PMID: 28331629; PMCID: PMC5356475.
Zani, A., Chung, W.K., Deprest, J. et al. Congenital diaphragmatic hernia. Nat Rev Dis Primers 8, 37 (2022). doi.org/10.1038/s41572-022-00...
Congenital Diaphragmatic Hernia: Maximizing Survival
Mark F. Weems, MD; Tim Jancelewicz, MD, MA; Hitesh S. Sandhu, MBBS
Neoreviews (2016) 17 (12): e705-e718.
doi.org/10.1542/neo.17-12-e705
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**TIMESTAMPS**
02:04 What is CDH?
08:34 Prognostic factors for CDH
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.

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20 июл 2024

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Комментарии : 42   
@laraeb2514
@laraeb2514 Год назад
Hi, another great video! Standing ovation from NYC!
@TalaTalksNICU
@TalaTalksNICU Год назад
Haha! Wish we could see that!! ha! Thanks for all your lovely comments :)
@laraeb2514
@laraeb2514 Год назад
@@TalaTalksNICU I would be happy to film it...wouldn't be the strangest thing filmed on the subway.🤣
@TalaTalksNICU
@TalaTalksNICU Год назад
LOL!!! That image just made my day!
@khairyelwerfeli
@khairyelwerfeli Год назад
As usual Dr Tala .. I’m from Egypt .. I actually saw many cases with CDH .. and unfortunately most of them didn’t survive … thanks a lot knowing the prognostic points for CDH Can’t wait for part 2 ❤
@TalaTalksNICU
@TalaTalksNICU Год назад
Thank you so much Khairy! It is a sad disease- but good to know the numbers are getting better everywhere. Thanks so much for subscribing too :)
@elisecoker6729
@elisecoker6729 Год назад
Thanks so much Dr Tala! Can you please consider doing videos on bradycardias/desaturations and airway abnormalities.
@TalaTalksNICU
@TalaTalksNICU Год назад
Hello Elise- YES! Thanks for the reminder- we REALLY need to get around to this! Thanks so much for watching and for subscribing :)
@user-ir3ge5mm2o
@user-ir3ge5mm2o Год назад
Beautiful great video😊❤ nicu fellow watching you from Syria
@TalaTalksNICU
@TalaTalksNICU Год назад
Hello! Is it Amar (my Arabic is not great!)? So happy that you found us and you've subscribed! Thank you!!
@user-tv1np5xy9m
@user-tv1np5xy9m Год назад
A WONDERFUL LECTURE AS U HAVE ALWAYS BEEN, VERY SIMPLE AND INFORMATIVE AT THE SAME TIME. I LIKE UR WAY OF TEACHING VERY MUCH DR. TALA
@TalaTalksNICU
@TalaTalksNICU Год назад
Thank you so much (my Arabic not great- is it Ibrahim?) We aim to be simple and informative- so that was a lovely compliment!! Thank you for subscribing too :)
@user-tv1np5xy9m
@user-tv1np5xy9m Год назад
@@TalaTalksNICU Thank U for responding on my comment Dr.Tala. I'm looking forward to the next lecture with interest .. All greetings to U from Egypt :)
@user-do4ff8dg8e
@user-do4ff8dg8e 10 месяцев назад
Watching from the Kingdom of Saudi Arabia... Love it!!
@TalaTalksNICU
@TalaTalksNICU 10 месяцев назад
Ahlan! So glad you’re here! Thank you!!
@karimzaghloul1
@karimzaghloul1 Год назад
Hello dr tala,your videos are so much informative thank you for your efforts,can you please make videos about mechanical ventilation in the nicu?
@TalaTalksNICU
@TalaTalksNICU Год назад
Hello Karim- so happy you find the videos informative. We're trying to figure out how to run a ventilator lecture with the actual vents- so can be as helpful as possible. We'll get to it soon- we promise!!
@bernadetteanntabdi2545
@bernadetteanntabdi2545 Год назад
watching Dra. Tala from Saudi Arabia❤
@TalaTalksNICU
@TalaTalksNICU Год назад
So happy- thanks for letting us know!!!
@nadarali5570
@nadarali5570 Год назад
Such a amazing video you share with us thank you tala I'm from Pakistan
@TalaTalksNICU
@TalaTalksNICU Год назад
Thank you so much for your continued support :)
@PROFKASPER
@PROFKASPER Год назад
🌹🌷🌹From Egypt thank you Dr. Tala
@TalaTalksNICU
@TalaTalksNICU Год назад
Thank you so much as always Mohamed!
@PROFKASPER
@PROFKASPER Год назад
@@TalaTalksNICU You are welcome Dr Tala
@desire-dream8825
@desire-dream8825 16 дней назад
Watching from Nagpur, India....
@TalaTalksNICU
@TalaTalksNICU 7 дней назад
Hello! So glad you're here!
@gitanjalilamichaney657
@gitanjalilamichaney657 Год назад
Do you have a lecture on the management yet
@TalaTalksNICU
@TalaTalksNICU Год назад
Monday! Ready to go :)
@klalawmpuia2001
@klalawmpuia2001 9 месяцев назад
hi, i am dr Puia from Mizoram, India. Enjoying your videos, keep up the good work, thanks
@TalaTalksNICU
@TalaTalksNICU 8 месяцев назад
So glad you like them. Thank you so much- glad you’re watching from India :)
@CuriousMind22
@CuriousMind22 Год назад
You pronounced their names - let’s start there. That’s a respectful and professional opening
@TalaTalksNICU
@TalaTalksNICU Год назад
I practiced- but always could do better!. Thank you for realising all this- appreciate you!!
@talibII
@talibII Год назад
Watching from Oman
@TalaTalksNICU
@TalaTalksNICU Год назад
oh yay! I don't think anyone has written to us from Oman yet :)
@sarahjanedhel1556
@sarahjanedhel1556 Год назад
What about if CDH is detected earlier? My rainbow baby was diagnosed just the other day, at my 13 week ultrasound. :( Not sure yet how many organs are up there, but I'm assuming a lot as his heart is pushed all the way to his right side... they could see stomach and maybe intestines up there at this stage. :( Waiting for the MRI at 22 weeks feels unbearable after what we've already been through, having had a full-term stillbirth last time.
@TalaTalksNICU
@TalaTalksNICU Год назад
Oh I’m so sorry- so sad about your previous baby- and now you’re going through this. That is just not right. The abnormality for all CDHs is made in the first trimester- the prognosis really depends on how everything progresses. We wish you the best possible outcome xx
@staciallen5635
@staciallen5635 11 месяцев назад
@sarahjanedhel1556 Hi! Im so sorry to hear about your baby’s diagnosis. My daughter just turned one in May and has CDH. We received the diagnosis at our 20 week anatomy scan. My daughter was an extremely severe left-sided case, with almost every organ up including 30% of her liver. We were given an extremely poor prognosis (10% chance of survival, 8+ month long nicu stay, and they suggested termination due to her severity) in our home state (Arizona) so we temporarily relocated to Florida (Johns Hopkins All Childrens Hospital) where they have an entire CDH team and floor. After reviewing our ultrasounds and MRIs, they gave our baby a 90-95% chance of survival and told us they fully expect her to live a normal, healthy life. Dr Kays is a pediatric surgeon who know ONLY works with CDH babies because it’s his specialty. This center sees some of the most severe cases in the nation and still has a 90%+ survival outcome. My daughter was in the NICU for two months but is now absolutely THRIVING and you would never ever know she had any medical complexities at all. Please know there is hope for your baby! There are facebook support groups you can join and I’m always willing to chat with ANY diagnosed mom and answer any questions you have. I’ll be thinking of you guys!
@carolinelpd7016
@carolinelpd7016 6 месяцев назад
Going through this now with one twin. 17 weeks and they said stomach up and heart pushed slightly right, I could see on the ultrasound it looked as though his heart was right and forward, stomach just behind - they haven’t told us anything else and waiting for a referral (we’re U.K.) to a different hospital. It feels like an age.
@laadidaa8175
@laadidaa8175 4 месяца назад
​@@carolinelpd7016Can you give any updates
@laadidaa8175
@laadidaa8175 3 месяца назад
​@@carolinelpd7016 Can you give an update?
@BernadetteTabdi-rl3le
@BernadetteTabdi-rl3le 3 месяца назад
From middle East
@TalaTalksNICU
@TalaTalksNICU 3 месяца назад
So happy you’re here!
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