Gastroschisis made easy! Delivery room management? NICU care?!

Omphalocele vs. Gastroschisis: What are the differences? What about outcomes? What are the defects associated with Gastroschises? Heart? Head? Kidneys? How do we manage this abdominal wall defect in the delivery room? What is a bowel bag? What if the need respiratory support? How do we take care of them in the NICU? What surgery is needed? What is a Silo bag anyway? When can we start feeds? Learn all this and more in this video!
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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:
https://en.wikipedia.org/wiki/Gastros...
Mr. Phillip Chambers - https://www.flickr.com/photos/philcha..., originally uploaded to en.wikipedia by User:Alii h
https://www.cdc.gov/ncbddd/birthdefec...
https://www.gov.uk/government/publica...
Transl Gastroenterol Hepatol. 2021; 6: 31. Published online 2021 Jul 25. doi: 10.21037/tgh-20-185 Sutureless closure for the management of gastroschisis
Modupeola Diyaolu, Lauren S. Wood, and  Matias Bruzoni
Kunz LH, Gilbert WM, Towner DR. Increased incidence of cardiac anomalies in pregnancies complicated by gastroschisis. Am J Obstet Gynecol. 2005 Sep;193(3 Pt 2):1248-52. doi: 10.1016/j.ajog.2005.05.080. PMID: 16157146.
Page, Rachael & Ferraro, Zachary & Moretti, Felipe & Fung-Kee-Fung, Karen. (2014). Gastroschisis: Antenatal Sonographic Predictors of Adverse Neonatal Outcome. Journal of pregnancy. 2014. 239406. 10.1155/2014/239406
https://radiologykey.com/gastroschisis/
How HY, Harris BJ, Pietrantoni M, Evans JC, Dutton S, Khoury J, Siddiqi TA. Is vaginal delivery preferable to elective cesarean delivery in fetuses with a known ventral wall defect? Am J Obstet Gynecol. 2000 Jun;182(6):1527-34. doi: 10.1067/mob.2000.106852. PMID: 10871475.
https://www.kidspot.com.au/parenting/...
https://www.dailymail.co.uk/health/ar...
https://www.cahs.health.wa.gov.au/-/m...
Riddle S, Agarwal N, Haberman B, Karpen H, Miquel-Verges F, Nayak SP, Sullivan K, Williams S, Zaniletti I, Jacobson E; Children’s Hospitals Neonatal Consortium Gastroschisis Focus Group. Gastroschisis and low incidence of early-onset infection: a case for antimicrobial stewardship. J Perinatol. 2022 Nov;42(11):1453-1457. doi: 10.1038/s41372-022-01494-3. Epub 2022 Aug 20. PMID: 35987968.
Alshahwani, Noora & Mandhan, Parkash & El kadhi, Abderrahman & Ali, Mansour & Latif, Abdel. (2013). Congenital duodenal obstruction associated with Down's syndrome presenting with hematemesis. Journal of Surgical Case Reports. 12. 10.1093/jscr/rjt108.
Petrosyan M, Sandler AD. Closure methods in gastroschisis. Semin Pediatr Surg. 2018 Oct;27(5):304-308. doi: 10.1053/j.sempedsurg.2018.08.009. Epub 2018 Aug 28. PMID: 30413261.
General Aspects on Post Partum Care of Laparoschisis in Newborns —A Pediatric Surgeon’s View Point - Scientific Figure on ResearchGate. Available from: https://www.researchgate.net/figure/S...

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**TIMESTAMPS**
00:04 Main Points
01:21 Introduction to gastroschisis
07:37 Delivery Room Management
09:56 Management in NICU
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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.