| Fatal meconium aspiration syndrome occurring despite airway management considered appropriate. | |
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MedLine Citation:
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PMID: 3976781 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A combined obstetric-pediatric approach to tracheal toilet is said to prevent serious cases of the potentially fatal meconium aspiration syndrome. After delivery of the head a DeLee trap is used to suction the oropharynx and nasopharynx. Immediately following delivery, endotracheal suction is performed in an effort to remove any remaining meconium-stained amniotic fluid. Although routinely using this approach, we continue to have occasional cases of fatal meconium aspiration syndrome. Therefore, we reviewed the outcome of infants born through meconium-stained fluid. During a 5-year period, 1420 (15%) of 9299 live-born infants had meconium-stained fluid. Thirty (2.1%) of these 1420 developed meconium aspiration syndrome and 12 (40%) died; eight received a postmortem examination. Four had unequivocal evidence of meconium aspiration, two had large numbers of intra-alveolar squamous cells, and two had no evidence of aspiration. We conclude that aggressive airway management during and immediately after delivery does not always prevent fatal meconium aspiration syndrome. |
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Authors:
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R O Davis; J B Philips; B A Harris; E R Wilson; J F Huddleston |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 151 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 1985 Mar |
Date Detail:
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Created Date: 1985-04-25 Completed Date: 1985-04-25 Revised Date: 2008-11-21 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 731-6 Citation Subset: AIM; IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Amniotic Fluid
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cytology Delivery, Obstetric / methods Humans Infant, Newborn Intubation, Intratracheal* Lung / pathology Meconium* / cytology Persistent Fetal Circulation Syndrome / complications Pneumonia, Aspiration / etiology*, mortality, prevention & control Pulmonary Atelectasis / complications Retrospective Studies Suction |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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