How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

188 results for

Amnioinfusion

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

61. Postterm Pregnancy (Overview)

interventions designed to protect the lungs from the chemical pneumonitis caused by chronic meconium exposure, such as amnioinfusion [ , ] or routine nasopharyngeal suctioning of meconium-stained neonates. [ ] Postterm pregnancy is also an independent risk factor for neonatal encephalopathy [ ] and for death in the first year of life. [ , ] While much of the work above has been conducted in postterm pregnancies. Some of the fetal risks such as presence of meconium, increased risk of neonatal acidemia (...) in utero. Traditionally, saline amnioinfusion and aggressive nasopharyngeal and oropharyngeal suctioning at the perineum were used to decrease the risk of meconium aspiration syndrome. Recent studies contradict this standard practice. Fraser et al performed a prospective, randomized, multicenter study evaluating the risks and benefits of amnioinfusion for the prevention of meconium aspiration syndrome. [ ] They concluded that in clinical settings, which have peripartum surveillance, amnioinfusion

2014 eMedicine.com

62. Postterm Pregnancy (Follow-up)

interventions designed to protect the lungs from the chemical pneumonitis caused by chronic meconium exposure, such as amnioinfusion [ , ] or routine nasopharyngeal suctioning of meconium-stained neonates. [ ] Postterm pregnancy is also an independent risk factor for neonatal encephalopathy [ ] and for death in the first year of life. [ , ] While much of the work above has been conducted in postterm pregnancies. Some of the fetal risks such as presence of meconium, increased risk of neonatal acidemia (...) in utero. Traditionally, saline amnioinfusion and aggressive nasopharyngeal and oropharyngeal suctioning at the perineum were used to decrease the risk of meconium aspiration syndrome. Recent studies contradict this standard practice. Fraser et al performed a prospective, randomized, multicenter study evaluating the risks and benefits of amnioinfusion for the prevention of meconium aspiration syndrome. [ ] They concluded that in clinical settings, which have peripartum surveillance, amnioinfusion

2014 eMedicine.com

63. Premature Rupture of Membranes (Follow-up)

informed and educated about the risks and the dismal prognosis for the neonate. Delivery is also appropriate when the mother is concerned about her own risks, especially when PPROM has occurred prior to 20 weeks' gestation. Incomplete abortion may be the appropriate term for the condition, as products of conception (the amniotic fluid) have passed the cervical opening and into the vagina in these cases. Other heroic measures such as amnioinfusion, tocolysis, and cervical plug to seal the membranes

2014 eMedicine.com

64. Amniotic Fluid Embolism (Overview)

, of 182 patients with AFE, found a strong association between AFE and renal disease, placenta previa, polyhydramnios, placental abruption, and eclampsia and with procedures such as amnioinfusion, classical cesarean delivery, and dilation and curettage. The risk of AFE was also found to rise with maternal age, with the greatest increase occurring after age 39. [ ] Previous Next: Epidemiology United States and international statistics Incidence of amniotic fluid embolism (AFE) is estimated at 1 case per

2014 eMedicine.com

65. Oligohydramnios

may be AFI less than the fifth percentile. Single deepest pocket (SDP) of less than 2 cm Amniotic fluid index (AFI) of less than 5 cm or less than the fifth percentile See the images below. Sonogram obtained before second-trimester amnioinfusion. This fetus has bilaterally absent kidneys consistent with a diagnosis of Potter syndrome. The cystic structures in the renal fossae are most likely the adrenal glands. Sonogram obtained after second-trimester amnioinfusion. This fetus has bilaterally (...) fetal kidneys and fluid-filled bladder may be observed to rule out renal agenesis (see the following 2 images), cystic dysplasia, and ureteral obstruction. Check fetal growth to rule out intrauterine growth restriction (IUGR) leading to oliguria. Sonogram obtained before second-trimester amnioinfusion. This fetus has bilaterally absent kidneys consistent with a diagnosis of Potter syndrome. The cystic structures in the renal fossae are most likely the adrenal glands. Sonogram obtained after second

2014 eMedicine Radiology

66. Breech Presentation (Follow-up)

or back down). [ ] Of those who received acoustic stimulation, 12 of 12 fetuses shifted to a spine-lateral position after acoustic stimulation, and 11 (91%) underwent successful ECV. In the control group, 0 of 11 shifts and 1 (9%) successful ECV ( P < .0001) occurred. Additional studies are needed. Amnioinfusion Although an earlier study reported on the utility of amnioinfusion to successfully turn 6 fetuses who initially failed ECV, [ ] a subsequent study was published of 7 women with failed ECV who (...) underwent amniocentesis and amnioinfusion of up to 1 liter of crystalloid. [ ] Repeat attempts of ECV were unsuccessful in all 7 cases. Amnioinfusion to facilitate ECV cannot be recommended at this time. Vaginal delivery rates after successful version The rate of cesarean delivery ranges from 0-31% after successful external cephalic version (ECV). Controversy has existed on whether there is a higher rate of cesarean delivery for labor dystocia following ECV. In 1994, a retrospective study by Egge et al

2014 eMedicine.com

67. Fetal Growth Restriction (Follow-up)

, continuous cardiotocography, steroids, maternal oxygen, and/or amnioinfusion and then repeat all testing up to 3 times a day depending on status. Situation 5 See the list below: Test results – IUGR with accelerating compromise, BPS less than or equal to 6, abnormal IVC and DV indices, pulsatile UV flow Interpretation – IUGR with decompensation, cardiovascular instability, hypoxemia certain, acidemia/asphyxia common, high perinatal mortality, death imminent Recommended management – If fetus is considered

2014 eMedicine.com

68. Breech Presentation (Diagnosis)

or back down). [ ] Of those who received acoustic stimulation, 12 of 12 fetuses shifted to a spine-lateral position after acoustic stimulation, and 11 (91%) underwent successful ECV. In the control group, 0 of 11 shifts and 1 (9%) successful ECV ( P < .0001) occurred. Additional studies are needed. Amnioinfusion Although an earlier study reported on the utility of amnioinfusion to successfully turn 6 fetuses who initially failed ECV, [ ] a subsequent study was published of 7 women with failed ECV who (...) underwent amniocentesis and amnioinfusion of up to 1 liter of crystalloid. [ ] Repeat attempts of ECV were unsuccessful in all 7 cases. Amnioinfusion to facilitate ECV cannot be recommended at this time. Vaginal delivery rates after successful version The rate of cesarean delivery ranges from 0-31% after successful external cephalic version (ECV). Controversy has existed on whether there is a higher rate of cesarean delivery for labor dystocia following ECV. In 1994, a retrospective study by Egge et al

2014 eMedicine.com

69. Amniotic Fluid Embolism (Diagnosis)

, of 182 patients with AFE, found a strong association between AFE and renal disease, placenta previa, polyhydramnios, placental abruption, and eclampsia and with procedures such as amnioinfusion, classical cesarean delivery, and dilation and curettage. The risk of AFE was also found to rise with maternal age, with the greatest increase occurring after age 39. [ ] Previous Next: Epidemiology United States and international statistics Incidence of amniotic fluid embolism (AFE) is estimated at 1 case per

2014 eMedicine.com

70. Postterm Pregnancy (Diagnosis)

interventions designed to protect the lungs from the chemical pneumonitis caused by chronic meconium exposure, such as amnioinfusion [ , ] or routine nasopharyngeal suctioning of meconium-stained neonates. [ ] Postterm pregnancy is also an independent risk factor for neonatal encephalopathy [ ] and for death in the first year of life. [ , ] While much of the work above has been conducted in postterm pregnancies. Some of the fetal risks such as presence of meconium, increased risk of neonatal acidemia (...) in utero. Traditionally, saline amnioinfusion and aggressive nasopharyngeal and oropharyngeal suctioning at the perineum were used to decrease the risk of meconium aspiration syndrome. Recent studies contradict this standard practice. Fraser et al performed a prospective, randomized, multicenter study evaluating the risks and benefits of amnioinfusion for the prevention of meconium aspiration syndrome. [ ] They concluded that in clinical settings, which have peripartum surveillance, amnioinfusion

2014 eMedicine.com

71. Fetal Growth Restriction (Diagnosis)

, continuous cardiotocography, steroids, maternal oxygen, and/or amnioinfusion and then repeat all testing up to 3 times a day depending on status. Situation 5 See the list below: Test results – IUGR with accelerating compromise, BPS less than or equal to 6, abnormal IVC and DV indices, pulsatile UV flow Interpretation – IUGR with decompensation, cardiovascular instability, hypoxemia certain, acidemia/asphyxia common, high perinatal mortality, death imminent Recommended management – If fetus is considered

2014 eMedicine.com

72. Congenital Lung Malformations (Follow-up)

and expect some lung growth and development. Serial amnioinfusions have been helpful in certain cases of oligohydramnios. In the extrauterine intrapartum (EXIT) procedure, the fetal head, neck, and shoulders are delivered through a uterine opening to allow for an assessment of the airway while the fetus is still attached to placental circulation. This technique has been used as a primary procedure to treat tracheal occlusion, to manage neck masses, and to facilitate the safe delivery of conjoined twins

2014 eMedicine Pediatrics

73. Meconium Aspiration Syndrome (Overview)

Mar. 33 (1):29-42, v-vi. . Hofmeyr GJ, Xu H. Amnioinfusion for meconium-stained liquor in labour. Cochrane Database Syst Rev . 2010 Jan 20. CD000014. . Fraser WD, Hofmeyr J, Lede R, et al, for the Amnioinfusion Trial Group. Amnioinfusion for the prevention of the meconium aspiration syndrome. N Engl J Med . 2005 Sep 1. 353 (9):909-17. . Committee on Obstetric Practice, American College of Obstetricians and Gynecologists. ACOG Committee opinion no. 379: management of delivery of a newborn (...) , American Academy of Pediatrics. 2005 American Heart Association (AHA) guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC) of pediatric and neonatal patients: neonatal resuscitation guidelines. Pediatrics . 2006 May. 117 (5):e1029-38. . Cialone PR, Sherer DM, Ryan RM, Sinkin RA, Abramowicz JS. Amnioinfusion during labor complicated by particulate meconium-stained amniotic fluid decreases neonatal morbidity. Am J Obstet Gynecol . 1994 Mar. 170 (3):842-9

2014 eMedicine Pediatrics

74. Meconium Aspiration Syndrome (Treatment)

. [ , ] In patients with meconium aspiration syndrome (MAS), a thorough cardiac examination and echocardiography are necessary to evaluate for congenital heart disease and persistent pulmonary hypertension of the newborn (PPHN). Quantifying the degree of pulmonary hypertension, prior to instituting therapy, is essential. Prevention of MAS Prevention of MAS is paramount. Obstetricians should closely monitor fetal status in an attempt to identify fetal distress. When meconium is detected, amnioinfusion with warm (...) , sterile saline is theoretically beneficial to dilute the meconium in the amniotic fluid, thereby minimizing the severity of the aspiration. However, current evidence does not support routine amnioinfusion to prevent MAS. [ , , ] One large, multicenter study determined that amnioinfusion did not reduce the risk of moderate or severe MAS or MAS-related death. [ ] As noted earlier under , current recommendations no longer advise routine intrapartum suctioning for infants born to mothers with meconium

2014 eMedicine Pediatrics

75. Meconium Aspiration Syndrome (Follow-up)

. [ , ] In patients with meconium aspiration syndrome (MAS), a thorough cardiac examination and echocardiography are necessary to evaluate for congenital heart disease and persistent pulmonary hypertension of the newborn (PPHN). Quantifying the degree of pulmonary hypertension, prior to instituting therapy, is essential. Prevention of MAS Prevention of MAS is paramount. Obstetricians should closely monitor fetal status in an attempt to identify fetal distress. When meconium is detected, amnioinfusion with warm (...) , sterile saline is theoretically beneficial to dilute the meconium in the amniotic fluid, thereby minimizing the severity of the aspiration. However, current evidence does not support routine amnioinfusion to prevent MAS. [ , , ] One large, multicenter study determined that amnioinfusion did not reduce the risk of moderate or severe MAS or MAS-related death. [ ] As noted earlier under , current recommendations no longer advise routine intrapartum suctioning for infants born to mothers with meconium

2014 eMedicine Pediatrics

76. Congenital Lung Malformations (Treatment)

and expect some lung growth and development. Serial amnioinfusions have been helpful in certain cases of oligohydramnios. In the extrauterine intrapartum (EXIT) procedure, the fetal head, neck, and shoulders are delivered through a uterine opening to allow for an assessment of the airway while the fetus is still attached to placental circulation. This technique has been used as a primary procedure to treat tracheal occlusion, to manage neck masses, and to facilitate the safe delivery of conjoined twins

2014 eMedicine Pediatrics

77. Antenatal Hydronephrosis (Follow-up)

in initial attempts (eg, use of amnioinfusion to enhance fetal visualization, use of fetal paralysis, routine use of antibiotics, and increased focus on proper catheter placement), as well as specific outcome measures needed for appropriate evaluation of the effects of fetal intervention (eg, gross survival, postnatal survival, shunted survival, and nadir creatinine at 1 year). [ ] Laparoscopy has also been described but has been associated with high rates of complications. [ ] Fetal cystoscopic ablation (...) of posterior urethral valves has been described; success rates have varied. [ ] The fetoscope is passed percutaneously through a cannula into the fetal bladder, and ablation of the valves is achieved with laser coagulation. Other less invasive techniques have been developed to help prevent oligohydramnios-induced pulmonary hypoplasia. As previously mentioned, serial transabdominal amnioinfusion is helpful in placement of percutaneous shunts. It may also have a therapeutic role in the reduction of pulmonary

2014 eMedicine Pediatrics

78. Potter Syndrome (Follow-up)

Gynecol . 1999 Feb. 180(2 Pt 1):441-6. . Hawkins JS, Dashe JS, Twickler DM. Magnetic resonance imaging diagnosis of severe fetal renal anomalies. Am J Obstet Gynecol . 2008 Mar. 198(3):328.e1-5. . Fisk NM, Ronderos-Dumit D, Soliani A, Nicolini U, Vaughan J, Rodeck CH. Diagnostic and therapeutic transabdominal amnioinfusion in oligohydramnios. Obstet Gynecol . Aug/1991. 78(2):270-8. . . Raboei EH. The role of the pediatric surgeon in the perinatal multidisciplinary team. Eur J Pediatr Surg . 2008 Oct (...) Genet . Mar/1999. 83(1):23-7. . . Hahn H, Park SY, Eom JH, Park SW. Quiz page. Congenital intrathoracic kidney after regression of an adrenal mass. Am J Kidney Dis . 2009 Jan. 53(1):A27-8. . Palmer RE, Kotsianti A, Cadman B, Boyd T, Gerald W, Haber DA. WT1 regulates the expression of the major glomerular podocyte membrane protein Podocalyxin. Curr Biol . Nov/2001. 11(22):1805-9. . . Media Gallery Sonogram obtained before second-trimester amnioinfusion. This fetus has bilaterally absent kidneys

2014 eMedicine Pediatrics

79. Polyhydramnios and Oligohydramnios (Follow-up)

an anomaly, delivery should be performed if the biophysical profile is nonreassuring. The instillation of isotonic sodium chloride solution in the second trimester may be of benefit in some patients. Use transabdominal amnioinfusion to instill 400-600 mL, which may improve visualization for ultrasonography and increase the amniotic fluid volume. In cases associated with postmaturity, review the pregnancy dating. If the gestation is truly longer than term, deliver the fetus by means of either induction (...) or cesarean delivery. If meconium is present during labor, administer amnioinfusion therapy to reduce the potential for fetal distress and prenatal aspiration. Transfer these pregnant women to a tertiary center when they have a high likelihood of maternal illness, preterm delivery, or infant problems that may require the resources of a tertiary care facility. Next: Medical Care The first step is identifying the etiology of the abnormal volume of amniotic fluid. Medical care includes the use of steroids

2014 eMedicine Pediatrics

80. Pulmonary Hypoplasia (Follow-up)

of death was 20 hours (range, 12-48 h), mostly commonly from respiratory failure. While antepartum amnioinfusions for treatment of oligohydramnios have significantly reduced the risk of pulmonary hypoplasia, longitudinal follow-up studies are lacking on the long-term outcomes of these children. Of children with pulmonary hypoplasia secondary to congenital diaphragmatic hernia (CDH), the postnatal survival rate of CDH at tertiary centers has improved, with reported rates of 70-92%. [ ] However

2014 eMedicine Pediatrics

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>