Konstantelos Dimitrios, Ifflaender Sascha, Dinger Jürgen, Rüdiger Mario
J Perinat Med. 2015 Nov;43(6):777-82. doi: 10.1515/jpm-2014-0188.
To determine how often infants are suctioned during delivery and how it affects the neonate.
Single-center analysis of video-recorded delivery room management after c-section from January 2012 until April 2013. Time point, duration, and frequency of suctioning in term and preterm newborns were analyzed along with vital parameters (heart rate (HR) and saturation values).
Three hundred forty-six videos were analyzed. Twenty-three percent of term and 66% of preterm newborns were suctioned. Newborns were suctioned up to 14 times; total duration spent for suctioning was between 2 and 154 s. Suctioning before face mask application occurred in 31% of the suctioned newborns requiring respiratory support. No severe bradycardia (<60 bpm) was noticed. Suctioning did not have an effect on HR and saturation in preterm infants but was associated with significantly higher HR in term infants requiring respiratory support. Term infants who did not require respiratory support showed significantly higher saturation values at 3, 5, 6, 7, 8, 9, and 10 min if they were not suctioned.
Suctioning of newborns in the delivery room does not adhere to recommendations of international guidelines. However, previously described side effects of suctioning could not be confirmed.
确定分娩期间对婴儿进行吸痰的频率及其对新生儿的影响。
对2012年1月至2013年4月剖宫产术后产房管理的视频记录进行单中心分析。分析足月儿和早产儿吸痰的时间点、持续时间和频率以及生命体征参数（心率（HR）和饱和度值）。
分析了346份视频。23%的足月儿和66%的早产儿接受了吸痰。新生儿吸痰次数多达14次；吸痰总时长在2至154秒之间。在31%需要呼吸支持的吸痰新生儿中，在应用面罩前进行了吸痰。未观察到严重心动过缓（<60次/分钟）。吸痰对早产儿的心率和饱和度没有影响，但与需要呼吸支持的足月儿心率显著升高有关。不需要呼吸支持的足月儿如果未进行吸痰，在3、5、6、7、8、9和10分钟时饱和度值显著更高。
产房内对新生儿吸痰不符合国际指南的建议。然而，先前描述的吸痰副作用未得到证实。
