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Pocivalnik, M; Urlesberger, B; Ziehenberger, E; Binder, C; Schwaberger, B; Schmölzer, GM; Avian, A; Pichler, G.
Oropharyngeal suctioning in neonates immediately after delivery: influence on cerebral and peripheral tissue oxygenation.
Early Hum Dev. 2015; 91(2):153-157
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Autor/innen der Med Uni Graz:
Avian Alexander
Binder-Heschl Corinna
Pichler Gerhard
Pocivalnik Mirjam
Schmoelzer Georg
Schwaberger Bernhard
Urlesberger Berndt
Ziehenberger Evelyn Maria
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Abstract:
Routine oropharyngeal suctioning in term vigorous neonates immediately after birth is a questionable practice. Current recommendations favor suctioning only in the presence of considerable obstruction due to secretions, blood or other matter. We aimed to analyze the influence of oropharyngeal suctioning on cerebral and peripheral muscle oxygenation in term neonates during transition immediately after birth. We included term neonates after elective cesarean section for this prospective observational study. Oropharyngeal suctioning was performed based on the clinicians' judgment of threatening airway obstruction. From a total of 138 enrolled neonates, 36 were suctioned and then compared to 36 controls matched for gestational age. Heart rate (HR) and pre/postductal arterial oxygen saturation (SpO2pre/SpO2post) were measured by pulse oximetry. Cerebral (rSO2brain) and pre/postductal peripheral muscle tissue oxygenation (rSO2pre/rSO2post) were measured by near infrared spectroscopy during the first 15min of life. All neonates in both groups experienced normal postnatal transition with normal Apgar scores (Apgar 9/10/10) and with no events of apnea or bradycardia induced by suctioning. SpO2pre values were slightly lower at 2 and 4min after birth. Suctioning had no main and interaction effect on HR, SpO2post, rSO2brain, rSO2pre and rSO2post in the first 15min after birth. In the present study we were able to show that, in term neonates, when correctly indicated, immediate postnatal oropharyngeal suctioning does not compromise cerebral and peripheral muscle tissue oxygenation. However, any suction maneuver must be performed with caution and strict indication during neonatal transition. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Brain - metabolism
Case-Control Studies -
Humans -
Infant, Newborn -
Intubation - adverse effects
Muscles - metabolism
Oropharynx -
Oxygen Consumption -
Suction - adverse effects

Find related publications in this database (Keywords)
Oropharyngeal suctioning
Near-infrared spectroscopy
Cerebral oxygenation
Muscle oxygenation
Elective cesarean section
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