Cochrane · systematic review · CD012671
Tracheal suction at birth in non‐vigorous neonates born through meconium‐stained amniotic fluid
Nangia, S, Thukral, A, Chawla, D · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
NeonatalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 8 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Tracheal suction compared to no tracheal suction in non‐vigorous neonates born through meconium‐stained amniotic fluid
Population: non‐vigorous neonates born through meconium‐stained amniotic fluid
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Meconium aspiration syndrome (MAS) Tracheal suction vs no tracheal suction | RR 1 [0.8, 1.25] | 4 studies · 581 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
All‐cause neonatal mortality Tracheal suction vs no tracheal suction | RR 1.24 [0.76, 2.02] | 4 studies · 575 participants | Very low Downgraded: risk of bias, imprecision |
Moderate to severe hypoxic‐ischaemic encephalopathy (HIE) Tracheal suction vs no tracheal suction | RR 0.68 [0.43, 1.09] | 1 study · 152 participants | Very low Downgraded: risk of bias, imprecision |
Any hypoxic‐ischaemic encephalopathy (HIE) Tracheal suction vs no tracheal suction | RR 1.05 [0.68, 1.63] | 1 study · 175 participants | Very low Downgraded: risk of bias, imprecision |
Need for mechanical ventilation Tracheal suction vs no tracheal suction | RR 0.99 [0.68, 1.44] | 4 studies · 581 participants | Very low Downgraded: risk of bias, imprecision |
Pulmonary air leaks (PAL) Tracheal suction vs no tracheal suction | RR 1.22 [0.38, 3.93] | 3 studies · 449 participants | Very low Downgraded: risk of bias, imprecision |
Persistent pulmonary hypertension (PPHN) Tracheal suction vs no tracheal suction | RR 1.29 [0.6, 2.77] | 3 studies · 406 participants | Very low Downgraded: risk of bias, imprecision |
Culture‐positive sepsis Tracheal suction vs no tracheal suction | RR 1.32 [0.48, 3.57] | 3 studies · 406 participants | Very low Downgraded: risk of bias, imprecision |