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• W2000655268 abstract "Current recommendations for clearance of the airways are that suction should not be used routinely for neonates born through clear amniotic fluid who start breathing spontaneously, 1 Wyllie J Perlman JM Kattwinkel J et al. Part 11: neonatal resuscitation: 2010 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation. 2010; 81: e260-e287 Summary Full Text Full Text PDF PubMed Scopus (155) Google Scholar , 2 WHOGuidelines on basic newborn resuscitation. World Health Organization, Geneva2012 Google Scholar or for those who do not begin to breathe spontaneously until after the baby is dried, stimulated, and positive-pressure ventilation is started. Suction should be used initially only in babies who have obvious obstruction to spontaneous breathing or if the mouth or nose is full of secretions. 2 WHOGuidelines on basic newborn resuscitation. World Health Organization, Geneva2012 Google Scholar , 3 Kattwinkel J Perlman JM Aziz K et al. Part 15: neonatal resuscitation: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010; 122: S909-S919 Crossref PubMed Scopus (431) Google Scholar Different methods of suction are recommended and used in delivery rooms, including suction catheters attached to units that generate negative pressure, bulb syringes, and wiping of the mouth and nose with a towel. 2 WHOGuidelines on basic newborn resuscitation. World Health Organization, Geneva2012 Google Scholar , 3 Kattwinkel J Perlman JM Aziz K et al. Part 15: neonatal resuscitation: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010; 122: S909-S919 Crossref PubMed Scopus (431) Google Scholar , 4 Lesson 2: initial steps in resuscitation. in: Kattwinkel J Textbook of neonatal resuscitation. 5th edn. American Academy of Pediatrics and American Heart Association, Elk Grove Village, IL2006 Google Scholar Suction catheters and bulb syringes might not always be readily available at the time of delivery and, therefore, clearing the airway by wiping with a towel is an appealing intervention that can be used anywhere and at no cost. Nevertheless, suction and wiping have not been directly compared. Oronasopharyngeal suction versus wiping of the mouth and nose at birth: a randomised equivalency trialWiping the nose and mouth has equivalent efficacy to routine use of oronasopharyngeal suction in neonates born at or beyond 35 weeks' gestation. Full-Text PDF" @default.
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• W2000655268 title "Wiping versus suction to clear neonatal airways at birth" @default.
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• W2000655268 doi "https://doi.org/10.1016/s0140-6736(13)61052-1" @default.
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