Meconium aspiration syndrome requiring mechanical ventilation: incidence and respiratory management in France (2000-2001)
To precise the number of term neonates with a meconium aspiration syndrome requiring mechanical ventilation in 2000 and 2001 in continental France and the related mortality. To study the different respiratory management. A written questionnaire was sent to all intensive care units of continental Fra...
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| Veröffentlicht in: | Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2004-05, Vol.11 (5), p.417-422 |
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| container_title | Archives de pédiatrie : organe officiel de la Société française de pédiatrie |
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| creator | Nolent, P Hallalel, F Chevalier, J Y Flamant, C Renolleau, S |
| description | To precise the number of term neonates with a meconium aspiration syndrome requiring mechanical ventilation in 2000 and 2001 in continental France and the related mortality. To study the different respiratory management.
A written questionnaire was sent to all intensive care units of continental France.
Thirty-nine units were contacted and 31 answered (80%). On 30 answering centers, 265 cases are reported in 2000 and 249 in 2001. Extrapolation to the 39 centers led to a number of 347 cases in 2000 and 324 in 2001. Mortality rate was 6.4% for 2 years. Causes of death were: neurological 61%, respiratory 18% and others 21%. Twenty-six on 29 units used exogenous surfactant and/or high frequency oscillatory ventilation (HFOV) and/or inhaled nitric oxide (iNO). The sequence of use and the indication criteria of these therapies were quite variable with a majority of units using HFOV in the first place.
Meconium aspiration syndrome is still a frequent neonatal condition despite a codified prevention strategy. Respiratory management in intensive care units remains very variable. |
| doi_str_mv | 10.1016/j.arcped.2004.02.017 |
| format | Article |
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A written questionnaire was sent to all intensive care units of continental France.
Thirty-nine units were contacted and 31 answered (80%). On 30 answering centers, 265 cases are reported in 2000 and 249 in 2001. Extrapolation to the 39 centers led to a number of 347 cases in 2000 and 324 in 2001. Mortality rate was 6.4% for 2 years. Causes of death were: neurological 61%, respiratory 18% and others 21%. Twenty-six on 29 units used exogenous surfactant and/or high frequency oscillatory ventilation (HFOV) and/or inhaled nitric oxide (iNO). The sequence of use and the indication criteria of these therapies were quite variable with a majority of units using HFOV in the first place.
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A written questionnaire was sent to all intensive care units of continental France.
Thirty-nine units were contacted and 31 answered (80%). On 30 answering centers, 265 cases are reported in 2000 and 249 in 2001. Extrapolation to the 39 centers led to a number of 347 cases in 2000 and 324 in 2001. Mortality rate was 6.4% for 2 years. Causes of death were: neurological 61%, respiratory 18% and others 21%. Twenty-six on 29 units used exogenous surfactant and/or high frequency oscillatory ventilation (HFOV) and/or inhaled nitric oxide (iNO). The sequence of use and the indication criteria of these therapies were quite variable with a majority of units using HFOV in the first place.
Meconium aspiration syndrome is still a frequent neonatal condition despite a codified prevention strategy. Respiratory management in intensive care units remains very variable.</description><subject>Bronchodilator Agents - administration & dosage</subject><subject>Bronchodilator Agents - therapeutic use</subject><subject>Cause of Death</subject><subject>Female</subject><subject>France</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant, Newborn</subject><subject>Intensive Care Units, Neonatal - statistics & numerical data</subject><subject>Male</subject><subject>Meconium Aspiration Syndrome - epidemiology</subject><subject>Meconium Aspiration Syndrome - mortality</subject><subject>Meconium Aspiration Syndrome - therapy</subject><subject>Nitric Oxide - administration & dosage</subject><subject>Nitric Oxide - therapeutic use</subject><subject>Respiration, Artificial - statistics & numerical data</subject><issn>0929-693X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo10L1OwzAUBWAPIFoKb4CQJwRDgn8SJ2ZDFQWkIhaQ2CLHvi2uYie1E6S8PQHKcs_y6ejoInRBSUoJFbe7VAXdgUkZIVlKWEpocYTmRDKZCMk_Zug0xh0hpCQlP0EzmlOeZ4zP0fgCuvV2cFjFzgbV29bjOHoTWgc4wH6wwfotdqA_lbdaNfgLfG-bX3mHrdfWgNeAlTeT_ytpw4id8moLbsITwqugftD1NJAk06E3Z-h4o5oI54dcoPfVw9vyKVm_Pj4v79dJR7nsk5xzUYicQC0VE0Bqo0WZZbQgJeW8NIXIGNNSaJMXRGzkpuaZKkXG65rlhgNfoKu_3i60-wFiXzkbNTSN8tAOsSqopLzkcoKXBzjUDkzVBetUGKv_Z_FvnqZr7Q</recordid><startdate>200405</startdate><enddate>200405</enddate><creator>Nolent, P</creator><creator>Hallalel, F</creator><creator>Chevalier, J Y</creator><creator>Flamant, C</creator><creator>Renolleau, S</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200405</creationdate><title>Meconium aspiration syndrome requiring mechanical ventilation: incidence and respiratory management in France (2000-2001)</title><author>Nolent, P ; Hallalel, F ; Chevalier, J Y ; Flamant, C ; Renolleau, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p139t-53367650eb9a26e0bdc684417081338d76422c96cd5706f9fb34a8643bb25d3e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; fre</language><creationdate>2004</creationdate><topic>Bronchodilator Agents - administration & dosage</topic><topic>Bronchodilator Agents - therapeutic use</topic><topic>Cause of Death</topic><topic>Female</topic><topic>France</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant, Newborn</topic><topic>Intensive Care Units, Neonatal - statistics & numerical data</topic><topic>Male</topic><topic>Meconium Aspiration Syndrome - epidemiology</topic><topic>Meconium Aspiration Syndrome - mortality</topic><topic>Meconium Aspiration Syndrome - therapy</topic><topic>Nitric Oxide - administration & dosage</topic><topic>Nitric Oxide - therapeutic use</topic><topic>Respiration, Artificial - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nolent, P</creatorcontrib><creatorcontrib>Hallalel, F</creatorcontrib><creatorcontrib>Chevalier, J Y</creatorcontrib><creatorcontrib>Flamant, C</creatorcontrib><creatorcontrib>Renolleau, S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Archives de pédiatrie : organe officiel de la Société française de pédiatrie</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nolent, P</au><au>Hallalel, F</au><au>Chevalier, J Y</au><au>Flamant, C</au><au>Renolleau, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Meconium aspiration syndrome requiring mechanical ventilation: incidence and respiratory management in France (2000-2001)</atitle><jtitle>Archives de pédiatrie : organe officiel de la Société française de pédiatrie</jtitle><addtitle>Arch Pediatr</addtitle><date>2004-05</date><risdate>2004</risdate><volume>11</volume><issue>5</issue><spage>417</spage><epage>422</epage><pages>417-422</pages><issn>0929-693X</issn><abstract>To precise the number of term neonates with a meconium aspiration syndrome requiring mechanical ventilation in 2000 and 2001 in continental France and the related mortality. To study the different respiratory management.
A written questionnaire was sent to all intensive care units of continental France.
Thirty-nine units were contacted and 31 answered (80%). On 30 answering centers, 265 cases are reported in 2000 and 249 in 2001. Extrapolation to the 39 centers led to a number of 347 cases in 2000 and 324 in 2001. Mortality rate was 6.4% for 2 years. Causes of death were: neurological 61%, respiratory 18% and others 21%. Twenty-six on 29 units used exogenous surfactant and/or high frequency oscillatory ventilation (HFOV) and/or inhaled nitric oxide (iNO). The sequence of use and the indication criteria of these therapies were quite variable with a majority of units using HFOV in the first place.
Meconium aspiration syndrome is still a frequent neonatal condition despite a codified prevention strategy. Respiratory management in intensive care units remains very variable.</abstract><cop>France</cop><pmid>15135423</pmid><doi>10.1016/j.arcped.2004.02.017</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0929-693X |
| ispartof | Archives de pédiatrie : organe officiel de la Société française de pédiatrie, 2004-05, Vol.11 (5), p.417-422 |
| issn | 0929-693X |
| language | eng ; fre |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Bronchodilator Agents - administration & dosage Bronchodilator Agents - therapeutic use Cause of Death Female France Health Surveys Humans Incidence Infant, Newborn Intensive Care Units, Neonatal - statistics & numerical data Male Meconium Aspiration Syndrome - epidemiology Meconium Aspiration Syndrome - mortality Meconium Aspiration Syndrome - therapy Nitric Oxide - administration & dosage Nitric Oxide - therapeutic use Respiration, Artificial - statistics & numerical data |
| title | Meconium aspiration syndrome requiring mechanical ventilation: incidence and respiratory management in France (2000-2001) |
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