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Neonatal Outcomes of Non-vigorous Neonates with Meconium-Stained Amniotic Fluid Before and After Change in Tracheal Suctioning Recommendation
OBJECTIVE: To evaluate the short-term outcomes of non-vigorous infants born through meconium-stained amniotic fluid (MSAF) before and after implementation of no-tracheal suctioning guidelines. STUDY DESIGN: Single-center retrospective study of ≥36-week gestation neonates with MSAF RESULTS: During ro...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9188988/ https://www.ncbi.nlm.nih.gov/pubmed/34997221 http://dx.doi.org/10.1038/s41372-021-01287-0 |
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author | Kalra, Vaneet Leegwater, Alexandra J Vadlaputi, Pranjali Garlapati, Pranav Chawla, Sanjay Lakshminrusimha, Satyan |
author_facet | Kalra, Vaneet Leegwater, Alexandra J Vadlaputi, Pranjali Garlapati, Pranav Chawla, Sanjay Lakshminrusimha, Satyan |
author_sort | Kalra, Vaneet |
collection | PubMed |
description | OBJECTIVE: To evaluate the short-term outcomes of non-vigorous infants born through meconium-stained amniotic fluid (MSAF) before and after implementation of no-tracheal suctioning guidelines. STUDY DESIGN: Single-center retrospective study of ≥36-week gestation neonates with MSAF RESULTS: During routine-suction era (9/2013–12/2014), 280/2306 neonates (12%) were born through MSAF and 39 (14%) were non-vigorous. Thirty (77%) of non-vigorous infants underwent tracheal suctioning. In the no-suction era (1/2017–12/2018), 282/2918 neonates (9.7%) were born through MSAF and 30 (10.6%) were non-vigorous and one needed intubation. Admissions for meconium aspiration syndrome (15% vs 53%) and respiratory distress (18% vs 57%) were significantly higher among non-vigorous infants in the no-suction era. CONCLUSIONS: In this single-center study, non-vigorous infants born through MSAF without routine-tracheal suctioning had a higher incidence of NICU admission for MAS and respiratory distress compared to the routine-suction era. Multicenter randomized trials evaluating tracheal suction in non-vigorous infants with MSAF are warranted. |
format | Online Article Text |
id | pubmed-9188988 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
record_format | MEDLINE/PubMed |
spelling | pubmed-91889882022-07-08 Neonatal Outcomes of Non-vigorous Neonates with Meconium-Stained Amniotic Fluid Before and After Change in Tracheal Suctioning Recommendation Kalra, Vaneet Leegwater, Alexandra J Vadlaputi, Pranjali Garlapati, Pranav Chawla, Sanjay Lakshminrusimha, Satyan J Perinatol Article OBJECTIVE: To evaluate the short-term outcomes of non-vigorous infants born through meconium-stained amniotic fluid (MSAF) before and after implementation of no-tracheal suctioning guidelines. STUDY DESIGN: Single-center retrospective study of ≥36-week gestation neonates with MSAF RESULTS: During routine-suction era (9/2013–12/2014), 280/2306 neonates (12%) were born through MSAF and 39 (14%) were non-vigorous. Thirty (77%) of non-vigorous infants underwent tracheal suctioning. In the no-suction era (1/2017–12/2018), 282/2918 neonates (9.7%) were born through MSAF and 30 (10.6%) were non-vigorous and one needed intubation. Admissions for meconium aspiration syndrome (15% vs 53%) and respiratory distress (18% vs 57%) were significantly higher among non-vigorous infants in the no-suction era. CONCLUSIONS: In this single-center study, non-vigorous infants born through MSAF without routine-tracheal suctioning had a higher incidence of NICU admission for MAS and respiratory distress compared to the routine-suction era. Multicenter randomized trials evaluating tracheal suction in non-vigorous infants with MSAF are warranted. 2022-06 2022-01-08 /pmc/articles/PMC9188988/ /pubmed/34997221 http://dx.doi.org/10.1038/s41372-021-01287-0 Text en Users may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use: https://www.springernature.com/gp/open-research/policies/accepted-manuscript-terms |
spellingShingle | Article Kalra, Vaneet Leegwater, Alexandra J Vadlaputi, Pranjali Garlapati, Pranav Chawla, Sanjay Lakshminrusimha, Satyan Neonatal Outcomes of Non-vigorous Neonates with Meconium-Stained Amniotic Fluid Before and After Change in Tracheal Suctioning Recommendation |
title | Neonatal Outcomes of Non-vigorous Neonates with Meconium-Stained Amniotic Fluid Before and After Change in Tracheal Suctioning Recommendation |
title_full | Neonatal Outcomes of Non-vigorous Neonates with Meconium-Stained Amniotic Fluid Before and After Change in Tracheal Suctioning Recommendation |
title_fullStr | Neonatal Outcomes of Non-vigorous Neonates with Meconium-Stained Amniotic Fluid Before and After Change in Tracheal Suctioning Recommendation |
title_full_unstemmed | Neonatal Outcomes of Non-vigorous Neonates with Meconium-Stained Amniotic Fluid Before and After Change in Tracheal Suctioning Recommendation |
title_short | Neonatal Outcomes of Non-vigorous Neonates with Meconium-Stained Amniotic Fluid Before and After Change in Tracheal Suctioning Recommendation |
title_sort | neonatal outcomes of non-vigorous neonates with meconium-stained amniotic fluid before and after change in tracheal suctioning recommendation |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9188988/ https://www.ncbi.nlm.nih.gov/pubmed/34997221 http://dx.doi.org/10.1038/s41372-021-01287-0 |
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