Examinando por Autor "Perguachi Ortiz, Amanda Gyssel"
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- ÍtemAcceso AbiertoActualización de manejo del síndrome de aspiración de líquido amniótico meconial. Revisión sistemática(Universidad Católica de Cuenca., 2024) Perguachi Ortiz, Amanda Gyssel; Alomía Castro, Paúl Esteban; 0350005989This syndrome is defined as a clinical pathology characterized by respiratory failure that occurs in newborns due to meconium amniotic fluid aspiration. The risk of presenting meconium fluid becomes much higher as fetal maturity increases, and its management is based mainly on general measures for respiratory support and hemodynamic stabilization aimed at preventing or treating infections and complications that may occur. Objective: To develop an updated literature review of the primary aspects of managing Meconium Aspiration Syndrome (MAS). Methodology: A qualitative, descriptive, and systematic review was conducted using a format based on PRISMA guidelines. Results: Seven articles were excluded because they did not meet the inclusion and exclusion criteria. For the preparation of the document, 31 articles were analyzed: PudMed (6), Taylor/Francis (2), Web of Science (2), Scopus (9), and Google Scholar (12). Conclusions: MAS is a cause of mortality and morbidity from neonatal respiratory disease worldwide; it occurs in infants born to adolescent mothers or mothers older than 40 years with hypertensive disorders, maternal hemorrhage, or sepsis. Steroid treatment does not reduce mortality rates of MAS but improves the time of oxygen administration, invasive ventilation, and ICU stay. Antibiotics are not recommended for routine treatment of MAS, and surfactant therapy in MAS does not directly improve mortality. Keywords: meconium amniotic fluid, meconium stain, MAS, postmature, surfactant.