IRCT20110523006575N6 IRCT 2021-09-18 Ilam University of Medical Sciences Comparison of neonatal mortality and morbidity after separation from ventilator by positive pressure, suction and non-intervention methods Comparison of neonatal mortality and morbidity after separation from ventilator by positive pressure, suction and non-intervention methods 2021-05-11 anticipated 65 Complete https://irct.ir/trial/56152 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: 19 cards with the title of intervention 1, 19 cards with the title of intervention 2, and 27 cards with the title of control will be placed in 65 envelopes of the same shape. The envelopes are placed irregularly and one envelope is opened for each newborn from one side, Blinding description: Newborns will not have an understanding of the type of intervention. Extubation in positive pressure support, negative pressure suction and the automatically group will be done without the presence of evaluators. Documents will be registered in 3 groups A, B, C. Evaluators will record the results of the study only on a group basis and without knowing the type of allocation. N/A Comparison of neonatal mortality and morbidity after separation from ventilator by positive pressure, suction and non-intervention methods. Intervention 1: Intervention group: Positive pressure support, with expanding ammo bag and squeezing ambos 3-4 times, will slowly separate. Intervention 2: Intervention group: Suction with a pressure of 100-80 mm Hg to which the N.G tube is connected will be used. At the same time as the negative pressure is applied, the endotracheal tube will be pulled out. Intervention 3: Control group: Spontaneous extubation. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no more information