Endotracheal Suction for Nonvigorous Neonates Born through Meconium Stained Amniotic Fluid: A Randomized Controlled Trial - 24/04/15
Abstract |
Objective |
To assess whether endotracheal suctioning of nonvigorous infants born through meconium stained amniotic fluid (MSAF) reduces the risk and complications of meconium aspiration syndrome (MAS).
Study design |
Term, nonvigorous babies born through MSAF were randomized to endotracheal suction and no-suction groups (n = 61 in each). Risk of MAS, complications of MAS and endotracheal suction, mortality, duration of neonatal intensive care unit stay, and neurodevelopmental outcome at 9 months were assessed.
Results |
Maternal age, consistency of meconium, mode of delivery, birth weight, sex, and Apgar scores were similar in the groups. In total, 39 (32%) neonates developed MAS and 18 (14.8%) of them died. There were no significant differences in MAS, its severity and complications, mortality, and neurodevelopmental outcome for the 2 groups. One infant had a complication of endotracheal suctioning, which was mild and transient.
Conclusions |
The current practice of routine endotracheal suctioning for nonvigorous neonates born through MSAF should be further evaluated.
Trial registration |
Clinical Trial Registry of India: CTRI/2013/03/003469.
Le texte complet de cet article est disponible en PDF.Keyword : MAS, MSAF, NICU, NRP, RR
Plan
| The authors declare no conflicts of interest. |
Vol 166 - N° 5
P. 1208 - mai 2015 Retour au numéro
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