Invasive mechanical ventilation in postterm neonates with meconium aspiration syndrome: an integrative review
DOI:
https://doi.org/10.46311/2318-0579.61.eUJ4644Keywords:
Artificial respiration, meconium aspiration syndrome, positive pressure breathing.Abstract
Meconium Aspiration Syndrome (MAS) is a clinical condition that affects neonates exposed to amniotic fluid containing meconium. This situation can result in serious respiratory complications, leading to respiratory failure. The use of oxygen and/or Invasive Mechanical Ventilation (IMV) are crucial treatments for newborns with respiratory problems. The aim of the study is to identify the impacts of IMV on full-term neonates with SAM. This is an integrative review, carried out in five electronic databases: SciELO, ScienceDirect, LILACS, MEDLINE and PubMed. Studies published between 2013 and 2023 in English and Portuguese were considered, with intervention methods in full-term neonates, of both sexes, of any ethnicity, who have been subjected to mechanical ventilation. Four studies were chosen, totaling 204 participants with an average gestational age between 37.4 and 40.16 weeks. The professionals employed basic and advanced ventilation methods in the treatment of respiratory dysfunction, along with the use of Helium gas. An improvement in oxygenation and a reduction in mechanical ventilation time were noted. The positive effectiveness of IMV in improving oxygenation is evident, especially when combined with other strategies, such as the use of helium gas, which can result in shorter ventilation time. This highlights the importance of ventilatory strategies in lung protection for these newborns.
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Copyright (c) 2024 Danielly Gomes , Enathanael Ribeiro Soares, Flávio Vinícius Fagundes Xavier, Juvêncio César Lima de Assis, Rayane Sales de Oliveira, Glêbia Alexa Cardoso, Rafaela Macêdo Feitosa, Joel Freires de Alencar Arrais
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