Premedication for Neonatal Endotracheal Intubation

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Premedication for neonatal endotracheal intubation: results from the epidemiology of procedural pain in neonates study.

OBJECTIVES To describe the frequency and nature of premedications used prior to neonatal endotracheal intubation; to confront observed practice with current recommendations; and to identify risk factors for the absence of premedication. DESIGN, SETTING, AND PATIENTS Data concerning intubations were collected prospectively at the bedside as part of an observational study collecting around-the-...

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Clinical Report—Premedication for Nonemergency Endotracheal Intubation in the Neonate

Endotracheal intubation is a common procedure in newborn care. The purpose of this clinical report is to review currently available evidence on use of premedication for intubation, identify gaps in knowledge, and provide guidance formaking decisions about the use of premedication. Pediatrics 2010;125:608–615

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Premedication for endotracheal intubation in the newborn infant.

Endotracheal intubation, a common procedure in newborn care, is associated with pain and cardiorespiratory instability. The use of premedication reduces the adverse physiological responses of bradycardia, systemic hypertension, intracranial hypertension and hypoxia. Perhaps more importantly, premedication decreases the pain and discomfort associated with the procedure. All newborn infants, ther...

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Premedication before intubation in UK neonatal units.

AIMS To establish the extent and type of premedication used before intubation in neonatal units in the United Kingdom. METHODS A structured telephone survey was conducted of 241 eligible units. Units were subdivided into those that routinely intubated and ventilated babies (routine group) and those that transferred intubated and ventilated babies (transfer group). RESULTS Of the units conta...

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Competency in neonatal endotracheal intubation: mission impossible?

The Accreditation Council for Graduate Medical Education Program Requirements (PRs) for Pediatrics require that residents be able to competently perform neonatal endotracheal intubation (NET). In this issue of Pediatrics, DeMeo et al defined competency as a 75% likelihood of intubation success; only a minority of residents (23%) were able to achieve competency during the study period. Four cumu...

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ژورنال

عنوان ژورنال: Pediatric Critical Care Medicine

سال: 2013

ISSN: 1529-7535

DOI: 10.1097/pcc.0b013e3182720616