Newborn Care Date Last Search Run: Feb 01, 2022 Table last updated: Dec 12, 2017

Recommendation		RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION		SUPPORTIVE (Green)	NEUTRAL (Yellow)	AGAINST (Red)	NOT YET GRADED (White)
	1 (strong evidence exists)				Intubation Oxygen Oxymetry Monitoring
	2 (fair evidence exists)		Trach. Suctioning via ETI
	3 (weak evidence exists)

Interventions

Intubation

Level

Direction

Primary Outcome

Patient/Process

Setting

Reference

Oxygen

Level

Direction

Primary Outcome

Patient/Process

Setting

Reference

Oxymetry Monitoring

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
X	Not Yet Graded (White)	-			Williams KB, Horst M, Hollinger EA, Freedman J, Demczko MM, Chowdhury D. Newborn Pulse Oximetry for Infants Born Out-of-Hospital. Pediatrics 2021; 148(4). Medline

Trach. Suctioning via ETI

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
II	Neutral (Yellow)	Mortality	Process	In-Patient	Linder N., Aranda J., Tsur M., et al. Need for endotracheal intubation and suction in meconium-stained neonates. J Pediatr 1988; 112:613-5. Medline
II	Neutral (Yellow)	Oxygen/ventilator support, Meconium Aspiration Syndrome	Process	In-Patient	Yoder B. Meconium-stained amniotic fluid and respiratory complications: Impact of selective tracheal suction. Obstet Gynecol 1994; 83:77-84. Medline
III	Supportive (Green)	Need for ETI	Process	ICU	Peng T., Gutcher G., Van Dorsten P. A selective aggressive approach to the neonate exposed to meconium-stained amniotic fluid. Am J Obstet Gynecol 1996; 175:296-303. Medline