vscode_launch_node.json

{
    // Use IntelliSense to learn about possible attributes.
    // Hover to view descriptions of existing attributes.
    // For more information, visit: https://go.microsoft.com/fwlink/?linkid=830387
    
    "version": "0.2.0",
    "configurations": [
        {
            "type": "node",
            "request": "launch",
            "name": "Node: Launch index.js",
            "program": "${workspaceFolder}/index.js",
            "env": {
                "NODE_ENV": "development"
            }
        },
        {
            "type": "node",
            "request": "attach",
            "name": "Node: Attach to nodemon",
            "processId": "${command:PickProcess}",
            "restart": true,
            "protocol": "inspector",
        },
        {
            "name": "Node: NPM run start-debug (Wrapper)",
            "type": "node",
            "request": "launch",
            "cwd": "${workspaceFolder}",
            "runtimeExecutable": "npm",
            "runtimeArgs": [
                "run-script", "start-debug"
            ],
            "restart": true,
            "port": 9229
        },
        {
            "name": "Node: NPM run start-dev (Frontend)",
            "type": "node",
            "request": "launch",
            "cwd": "${workspaceFolder}",
            "runtimeExecutable": "npm",
            "runtimeArgs": [
                "run-script", "start-dev"
            ],
            "restart": true,
            "port": 9229
        }
    ]
}

En package.json crear la línea

"start-debug": "NODE_ENV=development nodemon --inspect ./index.js",