Suctioning habits in the delivery room and the influence on postnatal adaptation – a video analysis

Konstantelos, Dimitrios; Ifflaender, Sascha; Dinger, Jürgen; Rüdiger, Mario

doi:10.1515/jpm-2014-0188

Cited by 19 publications

(20 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…23 The procedure may take [ 1 0 2 1 _ T D $ D I F F ] significant time to complete. 24 Suctioning may delay initiation of ventilation in nonbreathing infants. 3 Newborns who received suctioning compared with a control group had significantly lower oxygen saturation through the first 6 minutes of life and took longer to reach a normal saturation range.…”

Section: Summary Of Evidencementioning

confidence: 99%

“…3 Newborns who received suctioning compared with a control group had significantly lower oxygen saturation through the first 6 minutes of life and took longer to reach a normal saturation range. 24,25 There is a concern that suctioning may have serious additional consequences, such as irritation to mucous membranes and increased risk of iatrogenic infection, 26,27 bradycardia, 26,28 apnea, 28 hypoxemia and arterial oxygen desaturation, 25,27,29 hypercapnia, 30 impaired cerebral blood flow regulation, 31,32 increased intracranial pressure, 33 and development of subsequent neonatal brain injury. 34 The entire ScopRev can be found in Supplement Appendix B-2.…”

Section: Summary Of Evidencementioning

confidence: 99%

See 1 more Smart Citation

Neonatal Life Support 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Wyckoff¹,

Wyllie²,

Aziz³

et al. 2020

Resuscitation

Self Cite

111

114

View full text Add to dashboard Cite

This 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With TreatmentRecommendations (CoSTR) for neonatal life support includes evidence from 7 systematic reviews, 3 scoping reviews, and 12 evidence updates.The Neonatal Life Support Task Force generally determined by consensus the type of evidence evaluation to perform; the topics for the evidence updates followed consultation with International Liaison Committee on Resuscitation member resuscitation councils. The 2020 CoSTRs for neonatal life support are published either as new statements or, if appropriate, reiterations of existing statements when the task force found they remained valid.Evidence review topics of particular interest include the use of suction in the presence of both clear and meconium-stained amniotic fluid, sustained inflations for initiation of positive-pressure ventilation, initial oxygen concentrations for initiation of resuscitation in both preterm and term infants, use of epinephrine (adrenaline) when ventilation and compressions fail to stabilize the newborn infant, appropriate routes of drug delivery during resuscitation, and consideration of when it is appropriate to redirect resuscitation efforts after significant efforts have failed.All sections of the Neonatal Resuscitation Algorithm are addressed, from preparation through to postresuscitation care. This document now forms the basis for ongoing evidence evaluation and reevaluation, which will be triggered as further evidence is published.Over 140 million babies are born annually worldwide (https://ourworldindata.org/grapher/births-and-deaths-projected-to-2100). If up to 5% receive positive-pressure ventilation, this evidence evaluation is relevant to more than 7 million newborn infants every year. However, in terms of early care of the newborn infant, some of the topics addressed are relevant to every single baby born.

show abstract

Section: Summary Of Evidencementioning

confidence: 99%

Section: Summary Of Evidencementioning

confidence: 99%

Neonatal Life Support 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Wyckoff¹,

Wyllie²,

Aziz³

et al. 2020

Resuscitation

Self Cite

111

114

View full text Add to dashboard Cite

show abstract

“…Nevertheless, 70 % of the newborns were suctioned during the time period of current analysis. In a previous publication we have analyzed the effects of suctioning in term infants and did not find any beneficial effect (but also no side-effects) [24]. Thus, future training of our staff will focus on preventing routine suctioning.…”

Section: Discussionmentioning

confidence: 99%

“…Video recording of DR-management was performed as previously described [22–24]. For the present study, all recordings of preterm infants (<37 GA) born after c-section in 2012 and 2013 during the morning shift on working days were analyzed.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Analyzing video recorded support of postnatal transition in preterm infants following a c-section

Konstantelos

Dinger

Ifflaender

et al. 2016

BMC Pregnancy Childbirth

Self Cite

View full text Add to dashboard Cite

BackgroundOver the past years, research on neonatal resuscitation has focused on single interventions. The present study was performed to analyze the process quality of delivery room management of preterm infants born by c-section in our institution.MethodsWe performed a cross-sectional study of videos of preterm infants born by c-section. Videos were analyzed according to time point, duration and number of performed medical interventions. The study period occurred between January 2012 and December 2013. Infants were caterogized in 3 groups according to their gestational age.ResultsOne hundred eleven videos were analyzed. 100 (90 %) of the infants were transferred to NICU and 91 (83 %) received respiratory support after a median of 0.5 min. All infants were auscultated after 8 (5–16) seconds median (IQR) and an oxygen saturation sensor was placed after 37 (28–52) seconds. 23 infants were intubated after 9 (6–17) minutes and 17 received exogenous surfactant; 29 % according to INSURE (intubation-surfactant-extubation) technique. The duration of intubation attempts was 47 (25–60) seconds. 51 % of the newborns received a sustained inflation for 8 (6–9) seconds. A successful IV-line placement occurred after 15 (12–20) minutes. 4 % of the infants were transported to the NICU without an IV-line after 3 (difference range: 2–5) unsuccessful attempts.ConclusionsUsing video analysis as a tool to study process quality, we conclude that interventions differ not only between but also within similar age groups. This data can be used for benchmarking with current guidelines and practice in other centers.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-016-1045-2) contains supplementary material, which is available to authorized users.

show abstract

Suctioning of clear amniotic fluid at birth: A systematic review

Fawke

Wyllie²,

Udaeta³

et al. 2022

Resuscitation Plus

Self Cite

View full text Add to dashboard Cite

Suctioning habits in the delivery room and the influence on postnatal adaptation – a video analysis

Abstract: Suctioning of newborns in the delivery room does not adhere to recommendations of international guidelines. However, previously described side effects of suctioning could not be confirmed.

Cited by 19 publications

References 23 publications

Neonatal Life Support 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Neonatal Life Support 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Analyzing video recorded support of postnatal transition in preterm infants following a c-section

Suctioning of clear amniotic fluid at birth: A systematic review

Contact Info

Product

Resources

About