Cochrane Review Group

Neonatal

210 systematic reviews in Neonatal ask 2,353 questions. 18.4% have no studies to answer them, 25.9% rest on very low certainty evidence and 20.3% reach moderate or high certainty.

Reviews

210

Questions

2,353

current versions

No studies

18.4%

Moderate or high

20.3%

No studies 432 · 18.4%Ungraded 99 · 4.2%Very low 609 · 25.9%Low 737 · 31.3%Moderate 385 · 16.4%High 91 · 3.9%

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.

Search questions in Neonatal

Thinnest evidence

All no studies and very low questions

Question	Effect	Evidence	Status / GRADE
Summary of findings table ‐ Salbutamol vs placebo Adverse effects of bronchodilators, including hypokalaemia, tachycardia, cardiac arrhythmia, tremor, hypertension and hyperglycaemia ‐ not reported · preterm infants (< 37 weeks GA) at risk of chronic lung disease Inhaled bronchodilators for the prevention and treatment of chronic lung disease in preterm infants (2024) · Cochrane	no estimate extracted	NR	No studies
Summary of findings table ‐ Salbutamol vs placebo Pneumothorax · preterm infants (< 37 weeks GA) at risk of chronic lung disease Inhaled bronchodilators for the prevention and treatment of chronic lung disease in preterm infants (2024) · Cochrane	no estimate extracted	1 study · 173 participants	Very low
Surfactant administration via laryngeal mask airway (S‐LMA) vs surfactant administration via endotracheal tube (ETT) with extubation at standard criteria (S‐ETT) Pulmonary air leak, any (during first hospitalisation) Anytime to discharge · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	RR 2.56 [0.11, 59.75]	1 study · 48 participants	Very low
Surfactant administration via laryngeal mask airway (S‐LMA) vs surfactant administration via endotracheal tube (ETT) with extubation at standard criteria (S‐ETT) Bronchopulmonary dysplasia (clinical definition) among survivors · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	no estimate extracted	NR	No studies
Surfactant administration via laryngeal mask airway (S‐LMA) vs surfactant administration via endotracheal tube (ETT) with extubation at standard criteria (S‐ETT) Intraventricular haemorrhage grade III and IV Anytime to discharge · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	RR 2.56 [0.11, 59.75]	1 study · 48 participants	Very low
Surfactant administration via laryngeal mask airway (S‐LMA) vs surfactant administration via endotracheal tube (ETT) with extubation at standard criteria (S‐ETT) Death (all causes) during the first hospitalisation Anytime to discharge · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	RR 0.17 [0.01, 3.37]	1 study · 48 participants	Very low
Surfactant administration via laryngeal mask airway (S‐LMA) vs surfactant administration via endotracheal tube (ETT) with extubation at standard criteria (S‐ETT) Neurosensory disability in survivors · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	no estimate extracted	NR	No studies
Surfactant administration via laryngeal mask airway (S‐LMA) vs no surfactant administration Intraventricular haemorrhage grade III and IV Anytime to discharge · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	no estimate extracted	1 study · 103 participants	Very low
Surfactant administration via laryngeal mask airway (S‐LMA) vs no surfactant administration Death (all causes) during the first hospitalisation Anytime to discharge · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	no estimate extracted	1 study · 103 participants	Very low
Surfactant administration via laryngeal mask airway (S‐LMA) vs no surfactant administration Neurosensory disability in survivors · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	no estimate extracted	NR	No studies
Surfactant administration via laryngeal mask airway (S‐LMA) vs surfactant administration via endotracheal tube (ETT) with the intent to rapidly extubate (InSurE) Intraventricular haemorrhage grade III and IV Anytime to discharge · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	no estimate extracted	1 study · 50 participants	Very low
Surfactant administration via laryngeal mask airway (S‐LMA) vs surfactant administration via endotracheal tube (ETT) with the intent to rapidly extubate (InSurE) Neurosensory disability in survivors · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	no estimate extracted	NR	No studies

Reviews 210

Intravenous midazolam infusion for sedation of infants in the neonatal intensive care unit

Ng, E, Taddio, A, et al. · Cochrane Database of Systematic Reviews · 2017

Neonatal

Thinnest evidence

Reviews 210

Intravenous midazolam infusion for sedation of infants in the neonatal intensive care unit

Inhaled versus systemic corticosteroids for the treatment of bronchopulmonary dysplasia in ventilated very low birth weight preterm infants

Inhaled versus systemic corticosteroids for preventing bronchopulmonary dysplasia in ventilated very low birth weight preterm neonates

Cromolyn sodium for the prevention of chronic lung disease in preterm infants

Feed thickener for infants up to six months of age with gastro‐oesophageal reflux

Calcium and phosphorus supplementation of human milk for preterm infants

Volume‐targeted versus pressure‐limited ventilation in neonates

Arginine supplementation for prevention of necrotising enterocolitis in preterm infants

Body positioning for spontaneously breathing preterm infants with apnoea

Fluid restriction for treatment of preterm infants with chronic lung disease

Sildenafil for pulmonary hypertension in neonates

Antibiotics for neonates born through meconium‐stained amniotic fluid

Neonatal vitamin A supplementation for the prevention of mortality and morbidity in term neonates in low and middle income countries

Saline irrigation for the management of skin extravasation injury in neonates

Skin‐to‐skin care for procedural pain in neonates

Topical anaesthesia for needle‐related pain in newborn infants

Routine oro/nasopharyngeal suction versus no suction at birth

Prophylactic intravenous calcium therapy for exchange blood transfusion in the newborn

Frenotomy for tongue‐tie in newborn infants

Effects of targeting lower versus higher arterial oxygen saturations on death or disability in preterm infants

Cerebral near‐infrared spectroscopy monitoring for prevention of brain injury in very preterm infants

Orotracheal intubation in infants performed with a stylet versus without a stylet

Fluid supplementation for neonatal unconjugated hyperbilirubinaemia

Early planned removal of umbilical venous catheters to prevent infection in newborn infants

Clonidine for sedation and analgesia for neonates receiving mechanical ventilation