| Need for endotracheal intubation and suction in meconium-stained neonates. | |
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MedLine Citation:
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PMID: 3351688 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In a prospective study, we determined whether routine immediate tracheal aspiration at birth is necessary in meconium-stained but otherwise normal infants delivered vaginally and having a 1-minute Apgar score greater than 8. A total of 572 newborn infants who met these criteria were randomly allocated to one of two groups. All infants underwent oropharyngeal suctioning with a DeLee catheter while the head was still on the perineum. In group I (n = 308) suctioning of the trachea under direct vision was performed instantly at birth; in group II (n = 264) this procedure was not done. There was no mortality among infants in the study, but morbidity, mainly pulmonary and laryngeal disorders, occurred in six of 308 group I infants and in none of the group II infants (P less than 0.025). Immediate tracheal suction is not a harmless intervention, and should be considered superfluous in a vigorous term neonate born with meconium-stained amniotic fluid. |
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Authors:
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N Linder; J V Aranda; M Tsur; I Matoth; I Yatsiv; H Mandelberg; M Rottem; D Feigenbaum; Y Ezra; I Tamir |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: The Journal of pediatrics Volume: 112 ISSN: 0022-3476 ISO Abbreviation: J. Pediatr. Publication Date: 1988 Apr |
Date Detail:
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Created Date: 1988-05-06 Completed Date: 1988-05-06 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0375410 Medline TA: J Pediatr Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 613-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Pediatrics, Hadassah University Hospital, Jerusalem, Israel. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Apgar Score Humans Infant, Newborn Intubation, Intratracheal / adverse effects* Meconium Aspiration Syndrome / therapy* Prospective Studies Random Allocation Respiration Disorders / etiology* Respiratory Sounds / etiology Suction |
| Comments/Corrections | |
Comment In:
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J Pediatr. 1989 Jul;115(1):165-6
[PMID:
2783225
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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