ArticleCureus2026
Hazardous Hernia: Mechanical Ventilation in an Adult With a Congenital Diaphragmatic Hernia.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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0 citing papers in PubMed.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Congenital diaphragmatic hernias (CDHs) are developmental defects often found in infancy; however, they may be rarely found as a delayed diagnosis in adults. Although often an incidental finding, adult patients with preexisting CDH who present with symptoms of respiratory distress pose unique challenges in airway management. Complications include gastric insufflation, mechanical compression of the surrounding viscera, exacerbation of respiratory distress, and failed ventilatory weaning. We present the case of a 70-year-old female with acute hypoxic respiratory failure requiring mechanical ventilation in the setting of a large, preexisting CDH. The patient's hospital course was complicated by gastric insufflation requiring gastric decompression, with the need for prolonged ventilator support and repeated extubation failure requiring tracheostomy placement. The literature on ventilator management in adults with CDH remains limited; however, lung-protective ventilation is recommended due to the risk of gastric insufflation and mediastinal compression due to preexisting CDH.
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