Amniotic fluid aspiration in newborn
Authors:
J. Prajka; J. Dort
Authors place of work:
Neonatologické oddělení, Fakultní nemocnice Plzeň
Published in the journal:
Čes-slov Pediat 2019; 74 (8): 465-467.
Category:
Case Report
Summary
The aspiration of amniotic fluid is a common cause of respiratory distress in term newborns. Aspirated amniotic fluid can either be uncontaminated or contaminated by meconium as a result of hypoxia of the newborn during the delivery. The postnatal adaptation is altered. Shortly after the delivery appears tachypnoea and dyspnoe, low oxygen saturation and cyanosis. The amniotic fluid is repeatedly being sucked from the upper aiways. The X-ray scan of teh chest usually shows thickened lung pattern. In the therapy is used preferentially non-invasive ventilatory support, eventually antibiotics nad application of the surfactant.
The case shows a typical serious aspiration of amniotic fluid stained by meconium.
Keywords:
amniotic fluid aspiration – meconium – respiratory distress syndrome – surfactant – soft care
Zdroje
1. De Cunto A, Paviotti G, Demarini S. Neonatal aspiration: not just meconium. J Neonatal Perinatal Med 2013; 6: 355–357.
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3. Garcia-Prats JA. Prevention and management of meconium aspiration syndrome. UpToDate Dec 17, 2018.
4. Pender ChB. Respiratory distress in the newborn due to aspiration of amniotic fluid and its contents. Resuscitation 1973; 2: 157–167.
5. Dort J, Matas M, Mocková A, a kol. Méně invazivní podání surfaktantu (LISA) nedonošeným novorozencům s velmi nízkou porodní hmotností. Čes-slov Pediat 2018; 73 (Suppl 1): 16.
6. Koos BJ, Rajaee A. (2014) Fetal breathing movements and changes at birth. In: Zhang L, Ducsay C (eds). Advances in Fetal and Neonatal Physiology. Advances in Experimental Medicine and Biology. Vol 814. NY, New York: Springer, 2014.
Štítky
Neonatology Paediatrics General practitioner for children and adolescentsČlánok vyšiel v časopise
Czech-Slovak Pediatrics
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