Fluid recovery during lung lavage in meconium aspiration syndrome



Peter Dargaville, MBBS, FRACP, MD, Department of Paediatrics, Royal Hobart Hospital, Liverpool Street, Hobart, Tas. 7000, Australia.

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Email: peter.dargaville@dhhs.tas.gov.au


Lung lavage using two aliquots of 15 mL/kg of dilute surfactant was performed in 30 ventilated infants with severe meconium aspiration syndrome (MAS). Mean recovery of instilled lavage fluid was 46%, with greater fluid return associated with lower mean airway pressure at 24 h and a shorter duration of respiratory support.


Recovery of instilled lavage fluid is paramount in effective lung lavage in MAS and must be afforded priority in the lavage technique.