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Management of meconium aspiration syndrome by tracheobronchial lavage and replacement of Surfactant‐TA
Author(s) -
IBARA SATOSHI,
IKENOUE TSUYOMU,
MURATA YUJI,
SAKAMOTO HIROSHI,
SAITO TSUYOSHI,
NAKAMURA YASUTOSHI,
ASANO HITOSHI,
HIRANO TAKAHIRO,
KURAYA KAZUE,
MARUYAMA HIDEKI,
NINOMIYA YUKO
Publication year - 1995
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/j.1442-200x.1995.tb03688.x
Subject(s) - medicine , meconium aspiration syndrome , meconium , atelectasis , pulmonary surfactant , respiratory distress , tracheal tube , saline , anesthesia , respiratory system , respiratory failure , lung , airway , pregnancy , fetus , genetics , physics , biology , thermodynamics
Meconium aspiration syndrome creates mechanical airway obstruction with air trapping and atelectasis. Tracheobronchial saline lavage to dislodge meconium may precipitate respiratory distress, a wet lung appearance and respiratory failure. Two case studies are reported in which meconium aspiration resulted in mechanical obstruction and displacement of surfactant and in whom tracheobronchial saline lavage and artificial surfactant replacement reversed respiratory failure.