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The evolution of approach in the resuscitation of neonates born with meconium-stained amniotic fluid: a tale of two countries, China and U.S.A., in the past 60 years / 中国当代儿科杂志
Chinese Journal of Contemporary Pediatrics ; (12): 229-237, 2023.
Artigo em Chinês | WPRIM | ID: wpr-971065
ABSTRACT
Neonates born through meconium-stained amniotic fluid (MSAF) may develop complications including meconium aspiration syndrome, persistent pulmonary hypertension of newborn and death. The approach to the resuscitation of these neonates has significantly evolved for the past few decades. Initially, under direct visualization technique, neonates with MSAF were commonly suctioned below the vocal cords soon after delivery. Since 2015, Neonatal Resuscitation Program (NRP®) of the American Academy of Pediatrics has recommended against "routine" endotracheal suctioning of non-vigorous neonates with MSAF but favored immediate resuscitation with positive pressure ventilation via face-mask bagging. However, the China neonatal resuscitation 2021 guidelines continue to recommend routine endotracheal suctioning of non-vigorous neonates born with MSAF at birth. This review article discusses the differences and the rationales in the approach in the resuscitation of neonates with MSAF between Chinese and American NRP® guidelines over the past 60 years.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ressuscitação / Síndrome de Aspiração de Mecônio / China / Líquido Amniótico / Doenças do Recém-Nascido / Intubação Intratraqueal / Mecônio Limite: Criança / Feminino / Humanos / Recém-Nascido País/Região como assunto: Ásia Idioma: Chinês Revista: Chinese Journal of Contemporary Pediatrics Ano de publicação: 2023 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Ressuscitação / Síndrome de Aspiração de Mecônio / China / Líquido Amniótico / Doenças do Recém-Nascido / Intubação Intratraqueal / Mecônio Limite: Criança / Feminino / Humanos / Recém-Nascido País/Região como assunto: Ásia Idioma: Chinês Revista: Chinese Journal of Contemporary Pediatrics Ano de publicação: 2023 Tipo de documento: Artigo