objective the purpose of this study was to assess the frequency of complications of endotracheal intubation (eti) in neonates. methods the newborns that were admitted and needed urgent or semi-urgent intubation were enrolled in this study over a 1 year period. route for intubation in all cases were orotracheal. cases were not routinely sedated or paralyzed. the patients were clinically and radi...

background intravenous opioids are administered to prevent and control hemodynamic changes due to endotracheal intubation. except for special cases such as preeclampsia, these drugs are not recommended for parturants candidate for cesarean section because of the respiratory depression caused in the newborn. objectives according to rapid metabolism of remifentanil, the current study aimed to com...

Traditionally, intubation of newborn infants was done without sedation or muscle relaxation. This practice reflected uncertainty about the effects of these drugs in babies. Over recent years, there has been a growing awareness of the pain and physiological stress that cold intubation places on a baby and so it has become a less common practice. Despite this, there is still much we don't know ab...

Search strategy (including electronic databases searched). Pub Med[http://www.ncbi.nlm.nih.gov/PubMed/], “Laryngeal Masks or Laryngeal Mask, or Laryngeal Mask Airway or LMA” AND “Infant or Newborn or Neonate” as MESH (headings) AND “cardiopulmonary resuscitation or neonatal resuscitation or resuscitation” text word in abstract. Intubation, intra$. Mp or exp Intubation, Intratracheal as MeSH Hea...

OBJECTIVE Endotracheal intubation of newborn infants is a common and potentially lifesaving procedure but a skill that trainees find difficult. Despite widespread use, no data are available on whether the use of a stylet (introducer) improves success rates. We aimed to determine whether pediatric trainees were more successful at neonatal orotracheal intubation when a stylet was used. METHODS ...

The effectiveness and safety of a short acting barbiturate, methohexital, was assessed for its use at the time of elective intubation in 18 newborn infants with severe respiratory or cardiac conditions. Evaluation included the speed of action and the degree of relaxation, sedation, and sleep in the first five minutes after administration. All newborn infants were intubated in a fully relaxed an...

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

A newborn lies wide-awake, about to be intubated. The infant is able to feel everything, to hear everything--but cannot do anything to change the situation. Big people hold down the newborn and place a laryngoscope blade into the mouth, then a large endotracheal tube into the trachea. As the baby struggles, coughs, chokes, gags, and cries, blood pressure and intracranial pressure increase drama...