{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T22:24:04Z","timestamp":1774131844029,"version":"3.50.1"},"reference-count":41,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2023,12,22]],"date-time":"2023-12-22T00:00:00Z","timestamp":1703203200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004102","name":"Laerdal Foundation for Acute Medicine Norway","doi-asserted-by":"publisher","award":["3295"],"award-info":[{"award-number":["3295"]}],"id":[{"id":"10.13039\/501100004102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background: The aim of this study was to investigate delivery room airway suctioning and associated short-term outcomes in depressed infants. Methods: This is a single-centre prospective observational study of transcribed video recordings of preterm (gestational age, GA &lt; 37 weeks) and term (GA \u2265 37 weeks) infants with a 5 min Apgar score \u2264 7. We analysed the association between airway suctioning, breathing, bradycardia and prolonged resuscitation (\u226510 min). For comparison, non-suctioned infants with a 5 min Apgar score \u2264 7 were included. Results: Two hundred suction episodes were performed in 19 premature and 56 term infants. Breathing improved in 1.9% of premature and 72.1% of term infants, and remained unchanged in 84.9% of premature and 27.9% of term infants after suctioning. In our study, 61 (81.3%) preterm and term infants who were admitted to the neonatal intensive care unit experienced bradycardia after airway suctioning. However, the majority of the preterm and more than half of the term infants were bradycardic before the suction procedure was attempted. Among the non-airway suctioned infants (n = 26), 73.1% experienced bradycardia, with 17 non-airway suctioned infants being admitted to the neonatal intensive care unit. There was a need for resuscitation \u2265 10 min in 8 (42.1%) preterm and 32 (57.1%) term infants who underwent airway suctioning, compared to 2 (33.3%) preterm and 19 (95.0%) term infants who did not receive airway suctioning. Conclusions: In the infants that underwent suctioning, breathing improved in most term, but not preterm infants. More non-suctioned term infants needed prolonged resuscitation. Airway suctioning was not directly associated with worsening of breathing, bradycardia, or extended resuscitation needs.<\/jats:p>","DOI":"10.3390\/children11010016","type":"journal-article","created":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T20:42:30Z","timestamp":1703450550000},"page":"16","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Video-Recorded Airway Suctioning of Clear and Meconium-Stained Amniotic Fluid and Associated Short-Term Outcomes in Moderately and Severely Depressed Preterm and Term Infants"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1206-1551","authenticated-orcid":false,"given":"Gazmend","family":"Berisha","sequence":"first","affiliation":[{"name":"The Department of Paediatric and Adolescent Medicine, Akershus University Hospital, P.O. Box 1000, 1478 L\u00f8renskog, Norway"},{"name":"Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, P.O. Box 1171, 0318 Oslo, Norway"},{"name":"The Department of Anaesthesia and Intensive Care Unit, Stavanger University Hospital, P.O. Box 8100, 4068 Stavanger, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Line Norman","family":"Kvenshagen","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, P.O. Box 1171, 0318 Oslo, Norway"},{"name":"Department of Paediatrics and Adolescent Medicine, \u00d8stfold Hospital Trust Kalnes, P.O. Box 300, 1714 Gr\u00e5lum, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Marthe","family":"Boldingh","sequence":"additional","affiliation":[{"name":"The Department of Paediatric and Adolescent Medicine, Akershus University Hospital, P.O. Box 1000, 1478 L\u00f8renskog, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Britt","family":"Nakstad","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, P.O. Box 1171, 0318 Oslo, Norway"},{"name":"Department of Paediatrics and Adolescent Health, University of Botswana, Private Bag, Gaborone 0022, Botswana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elin","family":"Blakstad","sequence":"additional","affiliation":[{"name":"The Department of Paediatric and Adolescent Medicine, Akershus University Hospital, P.O. Box 1000, 1478 L\u00f8renskog, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arild Erland","family":"R\u00f8nnestad","sequence":"additional","affiliation":[{"name":"Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, P.O. Box 1171, 0318 Oslo, Norway"},{"name":"Department of Neonatal Intensive Care, Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Rikshospitalet, Nydalen, P.O. Box 4950, 0424 Oslo, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8009-7169","authenticated-orcid":false,"given":"Anne Lee","family":"Solev\u00e5g","sequence":"additional","affiliation":[{"name":"Department of Neonatal Intensive Care, Division of Paediatric and Adolescent Medicine, Oslo University Hospital, Rikshospitalet, Nydalen, P.O. Box 4950, 0424 Oslo, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,12,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1016\/j.jpeds.2007.10.041","article-title":"From liquid to air: Breathing after birth","volume":"152","author":"Davis","year":"2008","journal-title":"J. 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