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Fluid recovery during lung lavage in meconium aspiration syndrome
Author(s) -
Dargaville Peter A,
Copnell Beverley,
Mills John F,
Haron Ismail,
Lee Jimmy KF,
Tingay David G,
Rohana Jaafar,
Mildenhall Lindsay F,
Jeng MeiJy,
Narayanan Anushree,
Battin Malcolm R,
Kuschel Carl A,
Sadowsky Joel L,
Patel Harshad,
Kilburn Charles J,
Carlin John B,
Morley Colin J
Publication year - 2013
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12070
Subject(s) - medicine , meconium aspiration syndrome , meconium , bronchoalveolar lavage , lung , pulmonary surfactant , anesthesia , therapeutic irrigation , respiratory system , gastric lavage , airway , mean airway pressure , surgery , pregnancy , fetus , genetics , physics , biology , thermodynamics
Lung lavage using two aliquots of 15 mL/kg of dilute surfactant was performed in 30 ventilated infants with severe meconium aspiration syndrome (MAS). Mean recovery of instilled lavage fluid was 46%, with greater fluid return associated with lower mean airway pressure at 24 h and a shorter duration of respiratory support. Conclusion Recovery of instilled lavage fluid is paramount in effective lung lavage in MAS and must be afforded priority in the lavage technique.