Document Detail

Need for endotracheal intubation and suction in meconium-stained neonates.
MedLine Citation:
PMID:  3351688     Owner:  NLM     Status:  MEDLINE    
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.
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:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of pediatrics     Volume:  112     ISSN:  0022-3476     ISO Abbreviation:  J. Pediatr.     Publication Date:  1988 Apr 
Date Detail:
Created Date:  1988-05-06     Completed Date:  1988-05-06     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0375410     Medline TA:  J Pediatr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  613-5     Citation Subset:  AIM; IM    
Department of Pediatrics, Hadassah University Hospital, Jerusalem, Israel.
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MeSH Terms
Apgar Score
Infant, Newborn
Intubation, Intratracheal / adverse effects*
Meconium Aspiration Syndrome / therapy*
Prospective Studies
Random Allocation
Respiration Disorders / etiology*
Respiratory Sounds / etiology
Comment In:
J Pediatr. 1989 Jul;115(1):165-6   [PMID:  2783225 ]

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