PEDIATRICS Vol. 78 No. 4 October 1986, pp. 713
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Suctioning Meconium From the Trachea: A New Solution to an Old Problem

PERRY EISNER MD1

1 Department of Pediatrics, University of California, Irvine

Meconium-stained amniotic fluid complicates between 5% and 15% of live births and is, therefore, a frequently encountered problem of both the pediatrician and obstetrician. The currently recommended protocol for combined obstetric and pediatric management is DeLee suction of the nasopharynx, mouth, and hypopharynx by the obstetrician as soon as the baby's head appears. Immediately after delivery, the pediatrician suctions the oropharynx and inspects the cords. If meconium is present, the infant is intubated and the pediatrician places his or her mouth over the endotracheal tube and sucks the meconium from the trachea as the tube is removed.1,2 While this procedure has been proven successful in decreasing the incidence of meconium aspiration syndrome, the possibility of meconium entering the resuscitator's mouth exists.

Submitted on March 21, 1986
Accepted on May 15, 1986




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M. Y. Elias
A Novel Method for Neonatal Endotracheal Suctioning
Clinical Pediatrics, April 1, 1996; 35(4): 227 - 227.
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