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Use of Suctioning during Newborn Resuscitation and Its Effects on Heart Rate in a Low-Resource Setting, Tanzania

Suctioning of newborns immediately after birth, as part of delivery room resuscitation, is only recommended if the airway is obstructed. The aim of this study was to describe the use of suctioning during newborn resuscitation among survivors versus those who died within 3 days and potential suction-...

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Autores principales: Purington, Carolyn, Eilevstjønn, Joar, Dalen, Ingvild, Yeconia, Anita, Blacy, Ladislaus, Mduma, Estomih, Haug, Ingunn, Holte, Kari, Chang, Catherine, Perlman, Jeffrey, Ersdal, Hege
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529279/
https://www.ncbi.nlm.nih.gov/pubmed/37761501
http://dx.doi.org/10.3390/children10091540
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author Purington, Carolyn
Eilevstjønn, Joar
Dalen, Ingvild
Yeconia, Anita
Blacy, Ladislaus
Mduma, Estomih
Haug, Ingunn
Holte, Kari
Chang, Catherine
Perlman, Jeffrey
Ersdal, Hege
author_facet Purington, Carolyn
Eilevstjønn, Joar
Dalen, Ingvild
Yeconia, Anita
Blacy, Ladislaus
Mduma, Estomih
Haug, Ingunn
Holte, Kari
Chang, Catherine
Perlman, Jeffrey
Ersdal, Hege
author_sort Purington, Carolyn
collection PubMed
description Suctioning of newborns immediately after birth, as part of delivery room resuscitation, is only recommended if the airway is obstructed. The aim of this study was to describe the use of suctioning during newborn resuscitation among survivors versus those who died within 3 days and potential suction-related heart rate responses and associations to newborn characteristics. This was a retrospective observational study from July 2013 to July 2016 in a referral hospital in rural Tanzania. Research assistants observed and documented all deliveries, newborn resuscitations were video-recorded, and newborn heart rates were captured with a dry-electrode electrocardiogram. Liveborn infants ≥34 weeks gestation who received ventilation and with complete datasets were eligible. All 30 newborns who died were included, and a total of 46 survivors were selected as controls. Videos were annotated and heart rate patterns were observed before and after the suction events. Suctioning was performed more frequently than recommended. No differences were found in suctioning characteristics between newborns who died versus those who survived. In 13% of suction events, a significant heart rate change (i.e., arrhythmia or brief/sustained >15% fall in heart rate) was observed in relation to suctioning. This represents a potential additional harm to already depressed newborns undergoing resuscitation.
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spelling pubmed-105292792023-09-28 Use of Suctioning during Newborn Resuscitation and Its Effects on Heart Rate in a Low-Resource Setting, Tanzania Purington, Carolyn Eilevstjønn, Joar Dalen, Ingvild Yeconia, Anita Blacy, Ladislaus Mduma, Estomih Haug, Ingunn Holte, Kari Chang, Catherine Perlman, Jeffrey Ersdal, Hege Children (Basel) Article Suctioning of newborns immediately after birth, as part of delivery room resuscitation, is only recommended if the airway is obstructed. The aim of this study was to describe the use of suctioning during newborn resuscitation among survivors versus those who died within 3 days and potential suction-related heart rate responses and associations to newborn characteristics. This was a retrospective observational study from July 2013 to July 2016 in a referral hospital in rural Tanzania. Research assistants observed and documented all deliveries, newborn resuscitations were video-recorded, and newborn heart rates were captured with a dry-electrode electrocardiogram. Liveborn infants ≥34 weeks gestation who received ventilation and with complete datasets were eligible. All 30 newborns who died were included, and a total of 46 survivors were selected as controls. Videos were annotated and heart rate patterns were observed before and after the suction events. Suctioning was performed more frequently than recommended. No differences were found in suctioning characteristics between newborns who died versus those who survived. In 13% of suction events, a significant heart rate change (i.e., arrhythmia or brief/sustained >15% fall in heart rate) was observed in relation to suctioning. This represents a potential additional harm to already depressed newborns undergoing resuscitation. MDPI 2023-09-12 /pmc/articles/PMC10529279/ /pubmed/37761501 http://dx.doi.org/10.3390/children10091540 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Purington, Carolyn
Eilevstjønn, Joar
Dalen, Ingvild
Yeconia, Anita
Blacy, Ladislaus
Mduma, Estomih
Haug, Ingunn
Holte, Kari
Chang, Catherine
Perlman, Jeffrey
Ersdal, Hege
Use of Suctioning during Newborn Resuscitation and Its Effects on Heart Rate in a Low-Resource Setting, Tanzania
title Use of Suctioning during Newborn Resuscitation and Its Effects on Heart Rate in a Low-Resource Setting, Tanzania
title_full Use of Suctioning during Newborn Resuscitation and Its Effects on Heart Rate in a Low-Resource Setting, Tanzania
title_fullStr Use of Suctioning during Newborn Resuscitation and Its Effects on Heart Rate in a Low-Resource Setting, Tanzania
title_full_unstemmed Use of Suctioning during Newborn Resuscitation and Its Effects on Heart Rate in a Low-Resource Setting, Tanzania
title_short Use of Suctioning during Newborn Resuscitation and Its Effects on Heart Rate in a Low-Resource Setting, Tanzania
title_sort use of suctioning during newborn resuscitation and its effects on heart rate in a low-resource setting, tanzania
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529279/
https://www.ncbi.nlm.nih.gov/pubmed/37761501
http://dx.doi.org/10.3390/children10091540
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