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New therapeutic options in meconium aspiration syndrome. Porto Alegre, RS, Brasil. CEP: E-mail: celiny terra. Randomized and quasi-randomized trials, case control studies, meta-analyses and recently published reviews were selected. Other articles were included for their valuable contribution to the subject. MAS management is initiated with airway aspiration in the delivery room, followed by the ventilatory management required to maintain optimal arterial oxygenation, as well as complications treatment.
Considering evidences showing that meconium mechanical airway obstruction and its inhibitory effect on the surfactant system, the use of surfactant replacement and bronchoalveolar lavage with surfactant suspension are under study. Therefore, it is very important to identify new ventilatory strategies and evaluate whether there are advantages in using surfactant and bronchoalveolar lavage with surfactant suspension in MAS.
Key words: Meconium aspiration syndrome, Pulmonary surfactants, Bronchoalveolar lavage. A SAM continua ocorrendo em pacientes adequadamente aspirados na sala de parto. Surfactante e lavado broncoalveolar.
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Tincion de meconio al nacimiento y aspiracion de liquido amniotico y meconio en cachorros