Evidence map›Paper›PMID 42363180›Full record

Trial reportBMC pediatrics2026

Effects of a less invasive suction protocol on pain and physiological stability in preterm infants receiving non-ınvasive ventilation: a randomized controlled trial.

Ebru Temizsoy, Sevilay Topcuoglu, Havva Aliustaoglu, Esra Ozkan, Guner Karatekin

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07111611 (Effects of Non-Traumatic Nasopharyngeal Suction Technique in Infants During Non-Invasive Ventilation), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07111611 nacompletednot on this map

Effects of Non-Traumatic Nasopharyngeal Suction Technique in Infants During Non-Invasive Ventilation

TypeinterventionalSponsorIstanbul Bilgi UniversityRan2018 to 2020Enrolled100ConditionsPretermArmsNon-Traumatic Nasopharyngeal Suction Procedure
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ebru TemizsoyIstanbul Bilgi University, Istanbul, Turkey. ebru.temizsoy@bilgi.edu.tr.ORCID 0000-0002-4797-2427
Sevilay TopcuogluUniversity of Health Sciences, Zeynep Kamil Women and Children Diseases Training and Research Hospital, Istanbul, Turkey.
Havva AliustaogluUniversity of Health Sciences, Zeynep Kamil Women and Children Diseases Training and Research Hospital, Istanbul, Turkey.
Esra OzkanMersin City Hospital, Mersin, Turkey.
Guner KaratekinUniversity of Health Sciences, Zeynep Kamil Women and Children Diseases Training and Research Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-invasive ventilation (NIV) is widely used in preterm infants to reduce ventilator-associated lung injury. However, nasopharyngeal suctioning during NIV is an invasive procedure that may cause pain, stress and physiological instability in preterm infants. This study aimed to compare the effects of less invasive suction protocol and conventional nasopharyngeal suctioning on pain and physiological stability in preterm infants receiving non-invasive ventilation.

methodsThis randomized controlled trial was conducted in a tertiary neonatal intensive care unit. Preterm infants with a gestational age of 32

resultsBaseline demographic and clinical characteristics were comparable between groups. During suctioning, infants in the less invasive suction protocol group had significantly lower HR and higher SpO₂ levels compared to the conventional group (p < 0.05). The proportion of infants with pink skin color was significantly higher in the less invasive suction protocol group. N-PASS pain scores during the procedure were significantly lower in the less invasive suction protocol group (p < 0.05). No significant differences were observed between groups in RR measurements at any time point.

conclusionsThe less invasive suction protocol reduced procedural pain and supported physiological stability in preterm infants receiving NIV. Minimizing airway manipulation may contribute to safer and more developmentally supportive care in neonatal intensive care units.

trial registrationClinicalTrials.gov (NCT07111611), registered on 08 August 2025 (retrospectively registered).

Indexed as

Noninvasive VentilationPainProcedural PainFemaleHeart RateHumansInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalMalePain MeasurementRespiratory RateSuctionNasopharyngeal suctionNon-invasive ventilationPhysiological monitoringPremature infantsProcedural painRandomized controlled trial

Identifiers

PMID42363180
PMCPMC13573375

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.