|Intubation for tracheal suctioning is no longer recommended for vigorous or depressed|
|newborns with meconium-stained amniotic fluid.|
|Newborns in distress, as evidenced by poor respiratory effort or heart rate less than 100|
|beats/min, should be treated in a stepwise fashion with stimulation, positive pressure |
ventilation, chest compressions, intubation, and medications.
|Apnea, obstructive or central, is defined as at least a 20-second pause in respirations.|
|Low risk criteria for BRUE include age > 60 days, corrected gestational age > 45 wks, first|
|BRUE, no CPR required by a trained health care provider, no worrisome physical |
examination findings and no features on history of concern (e.g. possible child abuse, family
history of sudden death or toxic exposures).
|Recommendations for management of low risk infants encourage shared decision making|
|with the family and providers should not order extensive testing or admission solely for cardio-|