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MECONIUM ASPIRATION SYNDROME By Dr. Needa Shrestha Prasuti Griha, PBU
Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Meconium ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Description of Meconium ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Definition ,[object Object]
Physiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Factors that promote the passage of meconium in utero ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of Meconium Passage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of Meconium Passage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Post partum aspiration ,[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],Resulting in Acidosis, Hypoxaemia and Hypercapnea and infection.
Pathophysiology
History ,[object Object],[object Object]
Physical ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Physical ,[object Object],[object Object],[object Object],[object Object]
Classification of Respiratory Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differentials ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lab investigations ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lab investigations ,[object Object],[object Object]
Lab investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
iMAGiNG ,[object Object],[object Object],[object Object],[object Object]
Radiological findings of MAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Air trapping and hyperexpansion due to airway obstruction ,[object Object],[object Object],[object Object],[object Object]
Diffuse chemical pneumonitis from constituents of meconium
atelectasis
iMAGiNG ,[object Object]
Echocardiogram ,[object Object],[object Object],[object Object]
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sequelae ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention ,[object Object],[object Object],[object Object],[object Object]
Anticipate the worst Be prepared
American Academy of Pediatrics Neonatal Resuscitation Program Steering Committee guidelines: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Suctioning technique
Note: ,[object Object],[object Object]
General management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Supportive Treatment ,[object Object],[object Object],[object Object],[object Object]
Ventilatory Support ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conventional Mechanical Ventilation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Volume and Pressure support ,[object Object],[object Object],[object Object],[object Object],[object Object]
Surfactant therapy ,[object Object],[object Object],[object Object],[object Object],Ongoing studies
Albumin/Bile acid blockers ,[object Object],[object Object],[object Object]
ECMO ,[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object]
Thank you

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Meconium aspiration syndrome