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2019, Number 3

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Rev Mex Pediatr 2019; 86 (3)

Tracheal aspiration in non-vigorous newborns with probable meconium aspiration syndrome: Meta-analysis

Inzunza-Manjarrez G, Pérez-Gaxiola G, Medina-Rodríguez W

Language: Spanish
References: 8
Page: 104-107
PDF size: 210.11 Kb.


ABSTRACT

Objective: To determine whether endotracheal aspiration of non-vigorous newborns dyed with meconium reduces the risk of meconium aspiration syndrome through a systematic review. Material and methods: for the selection of controlled clinical trials (RCTs), the following databases were searched: Cochrane Library, Medline, Embase and metasearch engines such as Epistemonikos and Trip Database,. Results: Only two RCTs were identified. The group of non-vigorous newborns who did not receive endotracheal aspiration had a lower incidence of meconium aspiration syndrome; however, the difference was not significant (RR 0.76, CI95% 0.54 - 1.06). Conclusions: The evidence on the efficacy of endotracheal non-aspiration in non-vigorous newborns to prevent the development of meconium aspiration syndrome is insufficient, so more studies are needed to determine its usefulness.


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