羊水胎粪污染新生儿复苏的前世今生：过去60年中美两国的演变史

doi:10.7499/j.issn.1008-8830.2209031

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Abstract Neonates born through meconium-stained amniotic fluid (MSAF) may develop complications including meconium aspiration syndrome, persistent pulmonary hypertension of newborn and death. The approach to the resuscitation of these neonates has significantly evolved for the past few decades. Initially, under direct visualization technique, neonates with MSAF were commonly suctioned below the vocal cords soon after delivery. Since 2015, Neonatal Resuscitation Program (NRP?) of the American Academy of Pediatrics has recommended against "routine" endotracheal suctioning of non-vigorous neonates with MSAF but favored immediate resuscitation with positive pressure ventilation via face-mask bagging. However, the China neonatal resuscitation 2021 guidelines continue to recommend routine endotracheal suctioning of non-vigorous neonates born with MSAF at birth. This review article discusses the differences and the rationales in the approach in the resuscitation of neonates with MSAF between Chinese and American NRP? guidelines over the past 60 years.

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	HUANG Hai-Bo
	ZHU Xiao-Yu
	CHEUNG Po-Yin

Key words： Meconium-stained amniotic fluid Suction Meconium Guideline Neonate

Received: 07 September 2022

Cite this article:

HUANG Hai-Bo,ZHU Xiao-Yu,CHEUNG Po-Yin. The evolution of approach in the resuscitation of neonates born with meconium-stained amniotic fluid: a tale of two countries, China and U.S.A., in the past 60 years[J]. CJCP, 2023, 25(3): 229-237.

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http://www.zgddek.com/EN/10.7499/j.issn.1008-8830.2209031 OR http://www.zgddek.com/EN/Y2023/V25/I3/229

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