Post meconium aspiration bronchospasm

[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.

[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.

[dryogeshr]

Caffeine may be usefull