Controversies in the treatment of meconium aspiration syndrome.

作者信息

Gelfand Steven L, Fanaroff Jonathan M, Walsh Michele C

机构信息

Division of Neonatology, Department of Pediatrics, School of Medicine, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-6010, USA.

出版信息

Clin Perinatol. 2004 Sep;31(3):445-52. doi: 10.1016/j.clp.2004.03.020.

DOI:10.1016/j.clp.2004.03.020

PMID:15325531

Abstract

MAS remains an infrequent but challenging condition confronting neonatologists. Avoidance of postterm pregnancies, improved intrapartum monitoring,and amnioinfusion have been beneficial. Studies have not demonstrated conclusively that any form of ventilation is superior to others, but strategies that recruit alveoli are desirable. Surfactant lavage or replacement may be beneficial. When hypoxic respiratory failure progresses, iNO may improve oxygenation and avoid ECMO.

摘要