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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Controversies in the treatment of meconium aspiration syndrome
Steven L Gelfand1, Jonathan M Fanaroff, Michele C Walsh
1Division of Neonatology, Department of Pediatrics, School of Medicine, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-6010, USA.
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.
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.
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