Evidence · Systematic review or meta-analysis
Outcomes of endotracheal suctioning in non-vigorous neonates born through meconium-stained amniotic fluid: a systematic review and meta-analysis.
- Cardiovascular
- Delivery room and stabilisation
- Meconium aspiration
- Medical
- Newborn life support
- Nursing
- Persistent pulmonary hypertension
- Pneumothorax and air leak
- Respiratory
Summary
This systematic review and meta-analysis of randomised controlled trials compares endotracheal suctioning with no endotracheal suctioning in non-vigorous neonates born through meconium-stained amniotic fluid. Four trials including 581 infants were analysed, with meconium aspiration syndrome as the primary outcome and respiratory, resuscitation and other neonatal outcomes as secondary measures. No significant difference in meconium aspiration syndrome was found, suggesting routine early endotracheal suctioning may not alter neonatal outcomes. It is relevant to delivery room resuscitation practice for non-vigorous meconium-stained infants.
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- Open (Creative Commons)
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