What size endotracheal tube should you use for the purpose of performing a meconium aspiration?
Aspiration of the upper and lower airways was performed by a paediatrician using a 2.5 or 3.0 mm oro‐tracheal tube. Suction was continued during tube removal, and if the tracheal aspirate continued to contain meconium the procedure was repeated until clear airways were established.
Which treatment is prescribed for the newborn with meconium aspiration syndrome?
Sedation and analgesia are used frequently in infants with MAS and persistent pulmonary hypertension to alleviate pain and discomfort that may lead to hypoxia and right-to-left shunting. Opioids particularly morphine or fentanyl with midazolam are frequently used across the world (77 to 100%).
Which babies are at risk of RDS?
The earlier a baby is born, the more likely they are to have RDS that cannot be prevented. Nearly all babies born before 28 weeks of pregnancy will have RDS.
How can meconium aspiration be prevented?
Can meconium aspiration syndrome be prevented or avoided? Following your doctor’s advice and taking good care of yourself and your baby during pregnancy can often prevent problems that lead to meconium being present at birth. Smoking during pregnancy can raise the chances of having a baby with MAS.
What can cause meconium aspiration?
Meconium aspiration syndrome is caused by the baby’s first stool (feces). It also is caused by amniotic fluid (the fluid that surrounds the baby while in his or her mother’s uterus). It’s dangerous when the baby inhales either of these substances into his or her lungs before, during, or after birth.
Why is bag and mask ventilation contraindicated in meconium aspiration syndrome?
BVM ventilation is absolutely contraindicated in the presence of complete upper-airway obstruction. It is relatively contraindicated after paralysis and induction (because of the increased risk of aspiration).
What are the long term effects of meconium aspiration?
Severely affected babies have a much more guarded prognosis; they may develop chronic lung disease, developmental abnormalities and hearing loss. Sometimes very severe cases of MAS can be fatal.