Evidence-based practices search for the best available scientific evidence to support problem solving and decision making. Because of the complexity and amount of information related to health care, the results of methodologically sound scientific papers must be integrated by performing literature reviews. Although endotracheal suctioning is the most frequently performed invasive procedure in intubated newborns in neonatal intensive care units, few Brazilian studies of good methodological quality have examined this practice, and a national consensus or standardization of this technique is lacking. Therefore, the purpose of this study was to review secondary studies on the subject to establish recommendations for endotracheal suctioning in intubated newborns and promote the adoption of best-practice concepts when conducting this procedure. An integrative literature review was performed, and the recommendations of this study are to only perform endotracheal suctioning in newborns when there are signs of tracheal secretions and to avoid routinely performing the procedure. In addition, endotracheal suctioning should be conducted by at least two people, the suctioning time should be less than 15 seconds, the negative suction pressure should be below 100 mmHg, and hyperoxygenation should not be used on a routine basis. If indicated, oxygenation is recommended with an inspired oxygen fraction value that is 10 to 20% greater than the value of the previous fraction, and it should be performed 30 to 60 seconds before, during and 1 minute after the procedure. Saline instillation should not be performed routinely, and the standards for invasive procedures must be respected.

Introdução: Crianças prematuras tendem a apresentar atrasos no desenvolvimento neuropsicomotor devido à imaturidade e à propensão de lesões no sistema nervoso central. Objetivo: Descrever o perfil epidemiológico e motor de crianças atendidas no follow-up da Maternidade Balbina Mestrinho (MBM) em Manaus/AM, verificando a associação entre diferentes fatores socioambientais e clínicos com o desenvolvimento motor (DM). Métodos: Foram avaliadas 25 crianças acompanhadas no follow-up da MBM, por meio da Escala Motora Infantil de Alberta e aplicação de questionário estruturado contendo dados clínicos e epidemiológicos. Resultados: Foi detectado que todas as crianças eram prematuras e 44% apresentaram atipicidade no DM, relacionada principalmente a idade corrigida (p=0,015) e ao grau de escolaridade materna (p=0,019). Conclusão: O elevado índice de atipicidade no DM pode estar associado ao perfil amostral, cuja prematuridade infere em fragilidade de seus sistemas. Assim, sugere-se que maiores investigações sejam realizadas, a fim de relacionar outros fatores com o DM.

Background: According to the World Health Organization preterm birth is the most common direct cause of newborn mortality. Preterm birth and being small for gestational age which are the reasons for low-birth-weight (LBW), are also important indirect causes of neonatal deaths. LBW contributes to 60% to 80% of all neonatal deaths. In addition to the high mortality rate preterm newborns (PTNB), especially LBW, there are many barriers to the normal development. In this way, some practices have been adopted to favor the humanized assistance to the baby and his family. The hot tub, known in Brazil as ofurô, has been use in Brazil as a form of aquatic physiotherapy with the purpose of contributing to the reduction of stress, length of hospital stay and favoring the weight gain of PTNB with LBW. It consists of immersing the PTNB in hot tub in warm water up to shoulder height to simulate the sensation of the mother's uterus. However, there are few studies evaluating the repercussions of the subject.

Este documento tem por objetivo abordar os principais aspectos no manejo de pacientes recém-nascidos com suspeita ou confirmação da COVID-19. Recém-nascidos não parecem ser responsáveis por uma grande proporção da doença. Estes, porém, em sua maioria caracteriza-se por doença leve a moderada. As informações dos casos que necessitam de cuidados intensivos e uso de suporte ventilatório são muito escassos e limitados. De maneira geral, os dados são compatíveis com uma infecção viral respiratória semelhante a outras. A presença do vírus na placenta e a transmissão de COVID-19 de mãe para filho durante a gravidez ainda estão sendo investigadas. Os serviços de saúde para recém-nascidos com casos suspeitos ou confirmados de COVID-19 tem trabalhado à luz da literatura cientifica em constante evolução.