Post meconium aspiration bronchospasm

[Guest aymaniham]

Dear Netters,

We are suffering with babies who had severe MAS and PPHN, mainly treated by HFOV and iNO. After recovery they develop severe bronchospasm, we treat them by salbutamol nebs, inhailer, racemic epinephrine nebs, iv dexamethasone, and sometimes even iv salbutamol.

I would like to share with all of you your experience in such cases.

Thanks

Ayman Abu Mehrem

Assistant Consultant Neonatologist

King Abdulaziz National Guard Hospital

Al-Ahsa

Saudi Arabia

[sudershan.kumari]

dear member

post mas or even after ventilation , the neonates have higher incidence of reactive airway problem, they ususally decrase gradually by 6 months to one year. the episodes of wheezing are treated with bronchodilators ,salbutamol, and or steroids mostly by nebulisation.

[Guest aymaniham]

Dear Colleague,

I am not talking about long term reactive airway disease.

My concern is the immediate recovery period after improving of the PPHN and before extubation.

Thanks

[kpsanghvi]

Try ruling out a GERD in such infants.

[Guest dryogeshr]

Caffeine may be usefull