Tropical Doctor > Tropical Doctor Online First > 10.1258/td.2009.090200

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Methods and Devices

Adaption of suction connectors for use in meconium aspiration syndrome

David Anthony Green FRCPCH FRACP   

Fiji School of Medicine, Lautoka Hospital, Lautoka, Fiji

Correspondence to: David Anthony Green, Senior Lecturer in Paediatrics, Department of Paediatrics, Lautoka Hospital, PO Box 65, Lautoka, Fiji Email: davidhafiz{at}doctors.org.uk

Severe meconium aspiration syndrome is difficult to manage and has a high mortality in developing countries. Guidelines are available for the initial management. If the infant has been born through particulate meconium and is not vigorous, an inspection of the vocal cords by laryngoscopy is recommended. If meconium is seen at the cords it should, ideally, be sucked out of the trachea using an endotracheal tube as a suction device. However, as this needs a way of applying suction directly to the endotracheal tube it can be problematic. Commercially available equipment does exist, but in a resource-scarce setting, its cost could be prohibitive. We have adapted cheap suction connectors which can be adapted for this purpose.

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