Preoperative preparation of children with diaphragmatic hernia.

Purpose of the study: To study the experience of preoperative preparation of newborns with diaphragmatic hernia. Material and methods: The basis of the work was the analysis of diagnosis and treatment of 51 children with congenital diaphragmatic hernia (IDH) who were born and were hospitalized in the neonatal intensive care unit of the ODMMC for the period from 2000 to 2020. There were 23 boys (45.1%), girls 28 (54.9%). The results of preoperative preparation of newborns were assessed both by physical data and by the results of objective research methods. At the same time, in particular, attention was paid to the dynamics of mechanical ventilation modes necessary for adequate life support. The values of Fi02, PIP, and respiratory rate were estimated according to the available data in 21 case histories of group I and in 23 case histories of patients in group II. Conclusions. Thus, during mechanical ventilation in patients of both groups, the respiratory rate was maintained close to physiological for newborns. At the same time, the proven decrease in the child's body demand for additional oxygen after intensive preoperative preparation in group I was achieved using more "rigid" ventilation modes and to a lesser extent than in group II.