In cases of Congenital Diaphragmatic Hernia (CDH), what is a critical intervention that should occur immediately?

Study for The STABLE Program Test with multiple-choice questions, hints, and explanations. Prepare thoroughly to excel in your exam and ensure a comprehensive understanding of neonatal care practices.

In cases of Congenital Diaphragmatic Hernia (CDH), endotracheal intubation is a critical intervention that should occur immediately because it ensures that the airway is secured and enables effective mechanical ventilation. When a baby presents with CDH, the hernia can lead to severe respiratory distress due to hypoplastic lung development and the displacement of abdominal organs into the thoracic cavity, which impairs lung function.

By intubating the patient, healthcare providers can provide controlled ventilation, which is essential to maintain adequate oxygenation and ventilation. This is particularly important because conventional bag/mask ventilation may inflate the stomach and intestines, further compromising lung function and worsening respiratory distress. Early intubation also helps prevent the risk of further air trapping and mediastinal shift, which could threaten the patient's respiratory status.

Instead of waiting for imaging such as a chest X-ray or administering surfactant, which may not address the immediate need to secure the airway and provide ventilation, intubation should occur as the first line of action in managing an infant with CDH.

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