{"doi":"10.1016/j.siny.2025.101659","title":"Optimizing ECLS strategies in the management of congenital diaphragmatic hernia: Recent advances and best practices","abstract":null,"journal":"Seminars in Fetal and Neonatal Medicine","year":2025,"id":629575,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1630554,"name":"Devin Saljuud","orcid":null,"position":1,"is_corresponding":false},{"id":1453823,"name":"Kevin Johnson","orcid":"0000-0002-5938-0154","position":2,"is_corresponding":false},{"id":393357,"name":"Matthew T. Harting","orcid":"0000-0002-8929-8311","position":3,"is_corresponding":false},{"id":1630553,"name":"Kylie I. Holden","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Optimizing ECLS strategies in the management of congenital diaphragmatic hernia: Recent advances and best practices","abstract":"Infants with congenital diaphragmatic hernia (CDH) face severe pulmonary hypoplasia, pulmonary hypertension, and cardiac dysfunction, making it one of the most challenging neonatal conditions to manage. Advances in extracorporeal life support (ECLS) have the potential to significantly improve outcomes for the most severe infants with CDH. There has been significant evolution in indications, technology, and clinical strategies which have enhanced its role and improved early stabilization, management, and outcomes. While ECLS remains the foundational management strategy for the most challenging and highest-risk CDH patients, there remains no standard, evidence-based, or widely adopted approach, with variability across centers and ongoing equipoise regarding the optimal timing and criteria, highlighting the need for the development of evidence, further understanding, and refined approaches in CDH. In this review, we highlight recent advances and progressive approaches to ECLS in CDH.","is_dataset_classified":null,"base_score":0.0,"endowment":0.0,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"40946040","pmcid":null,"openalex_id":"https://openalex.org/W4413939367","authors":[],"funders":[{"funder_name":"McGovern Medical School","grant_id":"","title":null}],"total_grants":1,"fwci":0.0,"citation_percentile":0.32940663,"influential_citations":0,"citation_trend":[],"oa_status":"closed","license":null,"oa_locations":[{"url":"https://doi.org/10.1016/j.siny.2025.101659","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/40946040","host_type":"repository"}],"fields_of_study":["Congenital Diaphragmatic Hernia Studies","Hernia repair and management","Pleural and Pulmonary Diseases","Humans","Hernias, Diaphragmatic, Congenital","Extracorporeal Membrane Oxygenation","Infant, Newborn"],"mesh_terms":["Humans","Infant, Newborn","Extracorporeal Membrane Oxygenation","Hernias, Diaphragmatic, Congenital"],"keywords":["Congenital diaphragmatic hernia","Medicine","Intensive care medicine","Diaphragmatic breathing","Diaphragmatic hernia","Hernia","General surgery","Biology","Pathology","Pregnancy","Outcomes","Registry","Center Volume","Cdh Study Group","Diaphragm Repair","Cdh Repair"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-05T19:05:18.337258Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}