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What is Which of the following is a contraindication for bag and mask ventilation? and explain in detail?
Congenital diaphragmatic hernia (CDH) in the newborn presents as cyanosis and respiratory distress. Breath sounds may be absent on the left side of the chest and the hea sounds shifted to the right. The abdomen tends to be scaphoid. It may be difficult to effectively ventilate and resuscitate the patient. If a CDH is suspected, mask and bag ventilation must be avoided. The patient should be intubated and a sump/replogle tube placed as soon as possible to prevent air from filling the stomach and bowel and thus compromising ventilation fuher. Ref: Raab E.L., Kelly L.K. (2013). Chapter 22. Neonatal Resuscitation. In A.H. DeCherney, L. Nathan, N. Laufer, A.S. Roman (Eds), CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e.