What should be avoided when suctioning the airway of a newborn?

When suctioning the airway of a newborn, it is essential to avoid vigorous and deep suctioning of the posterior pharynx. This action can lead to several complications, including stimulating the vagus nerve, which may result in bradycardia (a dangerously low heart rate) due to increased vagal tone. Additionally, aggressive suctioning can cause trauma to the delicate tissues within the airway, leading to swelling, bleeding, or further obstruction.

Gentle suctioning of the mouth is appropriate as it helps clear secretions effectively without causing harm. Using a bulb syringe can be helpful for infants with respiratory distress, as it allows for effective suctioning when managed properly. Providing free flow oxygen is also a critical intervention in cases of newborns showing signs of respiratory distress, and it is often used in conjunction with suctioning to maintain adequate oxygenation during the procedure.