I'm a RRT (Registered Respiratory Therapist), I have worked in a 38 Bed Level III NICU In the U.S.A for twenty years. Rarely, do I use the Neotech little sucker. I prefer the bulb syringe along with NS. Overuse and misuse is a main cause of nasal trauma. The bulb syringe provides an element of feedback, the rate of return to normal after use tells on the degree of or lack of occlusion. The Neotech little sucker has its place but certainly not routinely.