Meconium Aspiration Syndrome Flashcards
1
Q
What is meconium aspiration syndrome?
A
When neonate inhales meconium during birth
2
Q
What are features of MAS related respiratory distress?
A
Partial/total airway obstruction Foetal hypoxia Pulmonary inflammation Surfactant inactivation Infection PPHN
3
Q
What are risk factors for meconium aspiration?
A
Gestational age >42 weeks
Foetal distress
APGAR <7
IUGR
4
Q
What are features of meconium aspiration syndrome?
A
Presence of meconium in amniotic fluid
Respiratory distress
5
Q
What investigations can be done for suspected meconium aspiration?
A
CXR
FBC, CRP, blood cultures
ABG
6
Q
What does a CXR show in meconium aspiration?
A
Increased lung volumes
Patchy pulmonary opacities
7
Q
How is meconium aspiration managed?
A
Manage resp distress
+/- abx if infection suspected