Prevalência das principais alterações do recém-nascido com Síndrome de Aspiração de Mecônio e os tipos de suporte ventilatório mais utilizados na Unidade de Terapia Intensiva Neonatal

Abstract

Objective: To assess the prevalence of Meconium Aspiration Syndrome (MAS), showing the main complications of the newborn (NB), length of stay in the Neonatal Intensive Care Unit (ICU) and ventilatory support longer used. Methods: A retrospective study was conducted through review of medical records of newborns with the diagnosis of SAM Regional Hospital Ceilândia DF-born in the period January 2009 to October 2011. Results: SAM was responsible for 0.78% of admissions to the NICU. During the study period were analyzed medical records of 86 newborns: 54 newborns were delivered vaginally, the mean weight was 3,113 kg, Apgar score at 1 minute was 4.4 and 5 ° for 7.1 minutes with an average of 4 , 4 and 7.1 respectively. The average duration of hospitalization was 9 days and the number of deaths was 3CASE. The supports used were more Hood (90.4%), invasive mechanical ventilation (54.7%) and CPAP (52.3%). Regarding the complications that the newborns had respiratory distress prevailed with 52.7% followed by perinatal anoxia (43%). Pulmonary hypertension amounted to 1.3%. Conclusion: The SAM continues to be an aggravating factor for the infant, exposing it to several days in the NICU and the various complications and can cause serious sequelae and even death of the newborn.