Special resuscitation circumstances

İlknur Kılıç

Künye

Special resuscitation circumstances. Perinatoloji Dergisi 2002;10(3):159-159

Yazar Bilgileri

İlknur Kılıç

Pamukkale University Division of Neonatology Denizli TR

Yazışma Adresi

İlknur Kılıç, Pamukkale University Division of Neonatology Denizli TR,

Yayın Geçmişi

Çıkar Çakışması

Çıkar çakışması bulunmadığı belirtilmiştir.

Meconium Aspiration

If the amniotic fluid contains meconium and the infant has absent or depressed respirations and decreased muscle tone direct laryngoscopy and intubation / suction of the trachea should be done. it has been shown that intubation and suetioning of the apparently vigorous meconium stained infant does not result in a decreased incidence of meconium aspiration syndrome or other respiratory disorders. Complication of intubation are infrequent and short lived. Pneumothorax

A pneumothorax is a potential problem whenever positive pressure ventilation is used. A pneumothorax should be suspected in any infant who is improving during a resuscitative effort ancl then suddenly decompansates. Unilaterally decreased bıeath sounds, distant heart sounds, shift in the point of maximal cardiac impulse, and persistent syanosis are the signs of pneumothorax. When immediate intervention in the delivery room is needed, it may necessary to insert a needle into the thorax before radiographic confirmation.
Diaphragmatic hernia
Immediate tracheal intubation should be performed to minimize air entry into the gastroınteslinal tract.
A nasogastric tube should be placed to allow intermittent suction to decompress the small bowel and minimize lung compression. Erythroblastosis/Hydrops
If the infant is extıemely anemic, a coordinated team should be prepared to perform a partial exchange transfusion. Initial lung expansion may be a problem in pleural effusion and ascites. After an airway has been secured, thoracentesis and/or paracentesis may improve ventilation and oxygenation.