Patient's question:
When the child was born, they cried loudly with strong and extended limbs, but the doctor said there was meconium in the amniotic fluid, which was cloudy, suggesting the child had ingested feces. As a result, the doctor sent the child to an incubator for treatment with aspiration pneumonia and intravenous fluids. In the morning, the child had a gastric lavage, and in the afternoon, another one was performed. They also tried to give the child water, but they kept vomiting. By the third day, they had started feeding the child dissolved milk, which was given four times in total. The doctor said to reduce the feeding if the child vomited. At 5 a.m. on the third day, the child vomited something brown like coffee. I asked the doctor if it had been tested.Doctor's answer:
In emergency situations, high-concentration oxygen should be immediately administered, and foreign bodies should be removed using a fiberoptic bronchoscope or tracheal intubation. Positive end-expiratory pressure (PEEP) should be added for the treatment of "acute respiratory distress syndrome." Blood volume deficits can be corrected using albumin or low-molecular-weight dextran. Diuretics can be used to prevent excessive left ventricular overload and interstitial fluid leakage into the lungs. The use of corticosteroids has been controversial. Some believe that the administration of high doses of corticosteroids within 12 hours of inhalation can help resolve pulmonary inflammation, while others hold the opposite view.