Indian Pediatr 2014;51: 1023
Indigenously Designed Meconium Aspirator
Sunil Rathi and *Rajesh Gupta
Department of Pediatrics, RD Gardi Medical College,
Ujjain, MP, India.
Email: * email@example.com
Meconium stained amniotic fluid (MSAF) complicates
delivery in approximately 8% to 25% of live births. Approximately 5% of
neonates born through MSAF develop meconium aspiration syndrome (MAS),
and approximately 50% of these infants require mechanical ventilation.
Meconium aspiration before or during birth can obstruct airways,
interfere with gas exchange and cause severe respiratory distress ,
leading to high morbidity and mortality. Neonates who are born through
MSAF and are apneic will require tracheal suction with meconium
Fig.1 Indigenous meconium aspirator.
Meconium aspirator, recommended in Neonatal
resuscitation guidelines is neither freely available nor routinely used
in our settings. This stimulated us to develop an indigenous aspirator
that is cheap, easily made and can be effectively used as meconium
aspirator. This device can be made with the help of an 8 cm long piece
of 1.25 cm diameter transparent simple plastic pipe (available as 1/2"
pipe in market), two adaptors of endotracheal tubes and one disposable
needle (Fig. 1). Create a small hole over junction of
anterior one-third and posterior two-third of plastic pipe using red hot
iron nail. This anteriorly placed hole in the pipe will allow a firm
grip as well as easy occlusion of hole by thumb (Web
Fig. 1). Push posterior part of needle (needle’s anterior
part removed) into hole to create a port. Attach two adaptors on both
side of the pipe (size as required). Attach endotracheal tube on one
side and suction point on other side. Occluding the hole will create
suction in endotracheal tube ( Web video 1).
This device has an advantage of being transparent as
it helps in viewing the color, consistency, and amount of material – not
possible in case of commercially available meconium aspirators. This
device can be sterilized with 2% glutereldehyde (Cidex) solution or
Ethylene oxide. We have successfully used this indigenously designed
meconium aspirator for resuscitation in many neonates and found it to be
1. Burris HH. Meconium Aspiration. In:
Cloherty JP, Eichenwald EC, Hansen AR, Stark AR. Manual of Neonatal
Care. 7th ed. Philadelphia: Lippincott
Williams & Wilkins; 2012.P. 429.
2. Kattwinkel J, Halamek LP, McGowen JE, Zaichkin J,
Anderson J, Braner V, et al. Endotracheal intubation and
laryngeal mask airway insertion. In: Textbook of Neonatal
Resuscitation by American Academy of Pediatrics. 6th ed. India:
Jaypee Brothers Medical Publishers (P) Ltd; 2012. 176- 178.