THIS IS A DANGEROUS CLINICAL CONDITION WARRANTING THE SERVICES OF A EXPERIENCED PEDIATRICIAN .A NEONATE CAN ASPIRATE FROM INSIDE UTERUS,DURING ITS PASSAGE PER VIA NATURALIS DURING LABOUR,AFTER DELIVERY(FIRST FEW FEEDINGS),EVEN AFTER A SUCCESSFUL RESUSCITATION.WHEN EVER THE LABOUR IS DELAYED FOR ANY REASON AMNIOTIC FLUID SWALLOWING OCCURS INVARIABLY.,DUE TO MULTIPLE REASONS(PLACENTA PREVIA, PREMATURE SEPERATION OF PLACENTA, INADEQUATE CONTRACTIONS OF UTERUS ,INADEQUATE DILATATIONS OF CERVIX OF UTERUS.SWALLOWED AMNIOTIC FLUID,IMPROPER FEEDING TECHNIQUE(NO BURPING), MAY LEAD TO ASPIRATION ASPIRATION PNEUMONIA, INSTANT DEATH.
IN THESE CASES THE RESUSCITATOR'S MAIN JOB IS MACHINE SUCTION OF RESPIRATORY TRACT,IN TOTO.AN XRAY CHEST WILL CONFIRM THE PRESENCE OF FLUID IN ONE OR BOTH LUNGS THESE CASES SHOULD BE IDEALLY SUBJECTED TO BRONCHOSCOPIC SUCTION.BUT PEDIATRIC BRONCHOSCOPE MAY NOT BE AVAILABLE IN 99%HOSPITALS.UNDER SUCH CIRCUMSTANCES THE AUTHOR'S SUGGESTION IS AS FOLLOWS:-
1)DON'T USE ENDOTRACHEAL TUBE INTUBATION(MAY CAUSE REFLEX BRONCHO CONSTRICTION 2)SUCK OUT KEEPING THE SUCTION CATHETER(AFTER CUTTING THE TIP OBLIQUELY AT OPENING OF TRACHEA WITH THE HALP LARYNGOSSCOPE.iNTHE ABSENCE OF LARYNGOSCOPE,KEEP THE TIP OF CATHETER ABOUT 3CM FROM THE LIPS OF NEONATE,MAKE TO &FRO MOVEMENT,AND WHEN YOU GET A PECULIER WHISTLING SOUND,MAITAIN THE TIP OF CATHTER AT THAT POSITION(OPENING OF TRACHEA)&KEEP SUCKING.IF YOU TAKE ANOTHER XRAY NOW THE CHEST WILL BE CLEAR.IF NOT REPEAT PROCEDURE
IN THESE CASES THE RESUSCITATOR'S MAIN JOB IS MACHINE SUCTION OF RESPIRATORY TRACT,IN TOTO.AN XRAY CHEST WILL CONFIRM THE PRESENCE OF FLUID IN ONE OR BOTH LUNGS THESE CASES SHOULD BE IDEALLY SUBJECTED TO BRONCHOSCOPIC SUCTION.BUT PEDIATRIC BRONCHOSCOPE MAY NOT BE AVAILABLE IN 99%HOSPITALS.UNDER SUCH CIRCUMSTANCES THE AUTHOR'S SUGGESTION IS AS FOLLOWS:-
1)DON'T USE ENDOTRACHEAL TUBE INTUBATION(MAY CAUSE REFLEX BRONCHO CONSTRICTION 2)SUCK OUT KEEPING THE SUCTION CATHETER(AFTER CUTTING THE TIP OBLIQUELY AT OPENING OF TRACHEA WITH THE HALP LARYNGOSSCOPE.iNTHE ABSENCE OF LARYNGOSCOPE,KEEP THE TIP OF CATHETER ABOUT 3CM FROM THE LIPS OF NEONATE,MAKE TO &FRO MOVEMENT,AND WHEN YOU GET A PECULIER WHISTLING SOUND,MAITAIN THE TIP OF CATHTER AT THAT POSITION(OPENING OF TRACHEA)&KEEP SUCKING.IF YOU TAKE ANOTHER XRAY NOW THE CHEST WILL BE CLEAR.IF NOT REPEAT PROCEDURE
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