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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
Meconium Aspiration Syndrome: A Narrative Review
Chiara Monfredini1, Francesco Cavallin2, Paolo Ernesto Villani1
1Neonatal Intensive Care Unit, Department of Mother and Child Health, Fondazione Poliambulanza, 25124 Brescia, Italy.
Meconium aspiration syndrome (MAS) affects newborns exposed to meconium-stained fluid, causing respiratory failure. While survival has improved, long-term health issues in infants persist, requiring updated management strategies.
Area of Science:
- Neonatal Medicine
- Pediatric Respiratory Medicine
- Perinatal Care
Background:
- Meconium aspiration syndrome (MAS) is a significant cause of respiratory failure in neonates.
- Incidence of MAS is decreasing in developed nations due to enhanced obstetric and perinatal care.
- Long-term morbidity in MAS survivors remains a critical concern despite improved survival rates.
Purpose of the Study:
- To provide an updated review of meconium aspiration syndrome.
- To cover epidemiology, causes, diagnosis, and infant management.
- To discuss the prognosis and long-term outcomes for affected neonates.
Main Methods:
- Comprehensive literature review of perinatal and postnatal management strategies.
- Analysis of epidemiological data on MAS incidence and trends.
- Synthesis of current understanding of MAS pathogenesis and clinical presentation.
Main Results:
- MAS incidence varies globally, with higher challenges in developing countries.
- Significant advancements in neonatal care have improved survival rates.
- Debate continues regarding optimal perinatal and postnatal management protocols.
Conclusions:
- MAS remains a critical neonatal condition requiring ongoing research.
- Effective management strategies are evolving, balancing survival with long-term infant health.
- An updated understanding of MAS is crucial for improving outcomes in affected neonates.
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