An infant with severe meconium aspiration syndrome is not responding to conventional treatment. Which method of treatment may be available at a level III facility for use with this infant?
a. Extracorporeal membrane oxygenation
b. Respiratory support with ventilator
c. Insertion of laryngoscope and suctioning of the trachea
d. Insertion of an endotracheal tube
A
Extracorporeal membrane oxygenation is a highly technical method that oxygenates the blood while bypassing the lungs, allowing the infant's lungs to rest and recover.
The infant is likely to have been first connected to a ventilator.
Laryngoscope insertion and tracheal suctioning are performed after birth before the infant takes the first breath.
An endotracheal tube will be in place to facilitate deep tracheal suctioning and ventilation.
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