A neonate with antenatally diagnosed congenital diaphragmatic hernia is delivered by caesarean section. He is cyanosed, has scaphoid abdomen and

Question

A neonate with antenatally diagnosed congenital diaphragmatic hernia is delivered by caesarean section. He is cyanosed, has scaphoid abdomen and respiratory distress. The team prepares to transfer him to neonatal ICU. What is the most important next step?

Accepted Answer

Intubate the trachea and avoid bag-mask ventilation

Answer

Give vigorous bag-mask ventilation to recruit the lungs

Answer

Delay airway management until chest radiograph

Answer

Insert a laryngeal mask and maintain spontaneous breathing

Answer

Start oral feeds to decompress the stomach

Congenital diaphragmatic hernia — FRCA Final MCQ

A neonate with antenatally diagnosed congenital diaphragmatic hernia is delivered by caesarean section. He is cyanosed, has scaphoid abdomen and respiratory distress. The team prepares to transfer him to neonatal ICU. What is the most important next step?