Meconium-stained Liquor and Meconium Aspiration
|Reviewed by David Knight|
|Delivery Room Management||Further Management||Criteria for Admission to NICU|
|Management of the Symptomatic Infant||Complications of Meconium Aspiration||References|
- Laryngoscope and suction the pharynx under direct vision. Intubate and suction the trachea with a meconium aspirator tube, applying suction as it is withdrawn. Use a pressure of -100mm Hg or -13Kpa for 1-5 seconds, with withdrawal of the tube 2.
- If meconium is present in the trachea, consider repeating ET suction.
- Resuscitate infant appropriately. If the heart rate is low, the infant should be ventilated after the first intubation (bag and mask) or on the second intubation.
|1||Oropharyngeal and nasopharyngeal suctioning of meconium-stained neonates before delivery of their shoulders: multicentre, randomised controlled trial. Vane NE, Szyld EG, et al. Lancet 2004: 364: 597-602|
|2||Delivery room management of the apparently vigorous meconium-stained neonate: results of the multicenter, international collaborative trial. Wiswell TE, Gannon CM, Jacob J, et al. Pediatrics 2000; 105:1-7.|
|3||Clinical audit of babies delivered through meconium stained liquor. Ashton M. NWH 2001|