morphine and Respiratory-Tract-Diseases

We aimed to systematically review and analyse the outcomes of non-endotracheal suctioning (non-ETS) versus ETS in non-vigorous meconium-stained neonates.. We conducted a systematic review of non-ETS and ETS in non-vigorous infants born through meconium-stained amniotic fluid (MSAF). We searched PubMed/Medline, Scopus, Clinical Trials.gov, Cumulative Index to Nursing and Allied Health, and Cochrane Library databases from inception to November 2019, using keywords and related terms. Only non-vigorous infants born through MSAF included in randomised controlled trials, were included. We calculated overall relative risks (RRs) and mean differences with 95% CIs using a random-effects model, to determine the impact of ETS in non-vigorous infants born through MSAF.. The primary outcome was the incidence of meconium aspiration syndrome (MAS). Secondary outcomes were respiratory outcome measures (pneumothorax, persistent pulmonary hypertension of the newborn, secondary pneumonia, need for respiratory support, duration of mechanical ventilation), initial resuscitation and others including shock, perinatal asphyxia, convulsions, neonatal mortality, blood culture-positive sepsis and duration of hospital stay.. A total of 2085 articles were identified in the initial database search. Four studies, including 581 non-vigorous meconium-stained infants, fulfilled the inclusion criteria, comprising 292 infants in the non-ETS group and 289 in the ETS group. No statistically significant difference was found for MAS (RR 0.98; 95% CI 0.71 to 1.35).. Initiating ETS soon after birth in non-vigorous meconium-stained infants may not alter their neonatal outcomes.

Topics: Amniotic Fluid; Female; Humans; Infant, Newborn; Intubation, Intratracheal; Meconium; Meconium Aspiration Syndrome; Obstetric Labor Complications; Pregnancy; Randomized Controlled Trials as Topic; Respiratory Tract Diseases; Severity of Illness Index

Topics: Child, Preschool; Cystic Fibrosis; Female; Genetic Carrier Screening; Genetic Counseling; Humans; Infant; Infant, Newborn; Intestinal Obstruction; Meconium; Minerals; Nutritional Physiological Phenomena; Pancreatic Extracts; Pregnancy; Respiratory Tract Diseases; Respiratory Tract Infections; Vitamins

Topics: Bronchopulmonary Dysplasia; Female; Humans; Infant, Newborn; Infant, Premature, Diseases; Inhalation; Male; Meconium; Respiratory Distress Syndrome, Newborn; Respiratory Tract Diseases; Respiratory Tract Infections

Topics: Female; Fetus; Humans; Infant, Newborn; Infant, Newborn, Diseases; Inhalation; Meconium; Pregnancy; Respiration; Respiratory Tract Diseases

Chest physical therapy for neonates with pulmonary dysfunction is a growing specialty of physical therapy practice. The purpose of this article is to provide physical therapists current information regarding chest physical therapy for the newborn infant. The neonatal diagnoses for which chest physical therapy is useful or has good rationale are discussed. Common complications are reviewed that affect physical therapy and medical treatment for infants with respiratory diseases and prematurity. Specific indications, contraindications, and precautions for physical therapy techniques are listed. Chest physical therapy evaluation and treatment are described and rationale for the application of various techniques is provided. Literature is reviewed dealing with the effects of chest physical therapy on neonates with pulmonary dysfunction. The strengths and weaknesses of each reviewed study are analyzed and suggestions for direction of future research for physical therapists are provided.

Topics: Adult; Bronchopulmonary Dysplasia; Child; Humans; Infant, Newborn; Infant, Newborn, Diseases; Meconium; Percussion; Physical Therapy Modalities; Pneumonia; Posture; Respiratory Distress Syndrome, Newborn; Respiratory Tract Diseases

Topics: Aging; Bronchial Diseases; Bronchodilator Agents; Child, Preschool; Humans; Infant; Infant, Newborn; Infant, Newborn, Diseases; Meconium; Respiratory Tract Diseases; Syndrome

Topics: Humans; Infant, Newborn; Infant, Newborn, Diseases; Inhalation; Meconium; Mediastinal Emphysema; Pleural Effusion; Pneumothorax; Pulmonary Atelectasis; Radiography; Respiratory Distress Syndrome, Newborn; Respiratory Tract Diseases

Topics: Animals; Disease Models, Animal; Dogs; Female; Humans; Infant, Newborn; Infant, Newborn, Diseases; Inhalation; Intubation, Intratracheal; Laparotomy; Meconium; Pregnancy; Radiography; Respiratory Tract Diseases; Uterus

Topics: Cystic Fibrosis; Diatrizoate; Enema; Female; Humans; Infant, Newborn; Intestinal Obstruction; Meconium; Methods; Postoperative Complications; Radiography; Respiratory Tract Diseases

Topics: Asphyxia Neonatorum; Humans; Hyaline Membrane Disease; Infant, Newborn; Infant, Newborn, Diseases; Infant, Premature, Diseases; Meconium; Pneumonia; Pneumothorax; Respiratory System Abnormalities; Respiratory Tract Diseases

Topics: Animals; Female; Hyperbaric Oxygenation; Meconium; Pneumonia, Aspiration; Pregnancy; Rabbits; Respiratory Tract Diseases; Sodium Chloride; Solutions

Topics: Acetylcysteine; Anti-Bacterial Agents; Bronchi; Bronchial Diseases; Child; Cystic Fibrosis; Digestive System; Drainage; Fecal Impaction; Humans; Hyperglycemia; Intestinal Obstruction; Liver Cirrhosis; Lung; Lung Diseases; Meconium; Mucus; Pneumatosis Cystoides Intestinalis; Respiratory Function Tests; Respiratory Insufficiency; Respiratory Therapy; Respiratory Tract Diseases; Salivary Glands; Sweat