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Prise en charge des nouveau-nés naissant dans un liquide méconial : évaluation prospective des pratiques
- Source :
-
Annales Francaises d'Anesthesie & de Reanimation . Sep2010, Vol. 29 Issue 9, p605-609. 5p. - Publication Year :
- 2010
-
Abstract
- Abstract: Objective: Regional guideline for immediate tracheal suctioning (ITS) in vigorous and non-vigorous infants born through meconium-stained amniotic fluid (MSAF) has been established in 2003. The objective of this study was to evaluate guideline application. Study design: Prospective cohort. Patients and methods: The first part of the study was a short survey about ITS practices in maternity hospitals then, management and early evolution of babies born through particulate MSAF was evaluated by questionnaire. Results: Among 6761 neonates, 199 (3%) were born with MSAF. Early clinical evaluation showed 52 (26%) non-vigorous neonates; 22 of them (42%) have had an ITS. One hundred and forty-seven neonates were vigorous (74%); 27 of them (18%) have had an ITS. Implementation of recommendations in non-vigorous babies was better in maternities of level III, while they were lower in maternities of level IIA for vigorous babies. Among 52 non-vigorous children, eight had a meconium aspiration syndrome (MAS), including five who had an ITS. One MAS occurred in vigorous babies but infection could not be excluded. Conclusion: Recommendations for ITS were implemented in 70% of cases but only in 42% of cases in non-vigorous babies. We have to improve formation and circulation of new recommendations. [Copyright &y& Elsevier]
Details
- Language :
- French
- ISSN :
- 07507658
- Volume :
- 29
- Issue :
- 9
- Database :
- Academic Search Index
- Journal :
- Annales Francaises d'Anesthesie & de Reanimation
- Publication Type :
- Academic Journal
- Accession number :
- 53392662
- Full Text :
- https://doi.org/10.1016/j.annfar.2010.05.034