Clinical Report—Premedication for Nonemergency Endotracheal Intubation in the Neonate
نویسنده
چکیده
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
منابع مشابه
Common Complications of Endotracheal Intubation in Newborns
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 rad...
متن کاملPremedication 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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Background: Tracheal intubation and direct laryngoscopy are powerful noxious stimuli that can elicit sever hemodynamic responses. These hemodynamic responses should be attenuated by appropriate use of premedication, smooth induction of anesthesia and rapid tracheal intubation. Gabapentin and pregabalin have been suggested in several studies to be efficient. Gabapentin is an antiepileptic drug a...
متن کاملA Comparative Clinical Study of Oral Clonidine versus Intravenous Clonidine for Attenuation of Haemodynamic Response to Endotracheal Intubation
Background And Objectives: Laryngoscopy with or without tracheal intubation amounts to a highly noxious stimulus to the homeostasis of the patient. Many a times under lighter planes of anaesthesia it elicits a defence mechanism in the form of haemodynamic response to stress, which involves activation of adrenocortical system. This study was conducted to compare the effects of oral Clonidine and...
متن کاملPremedication 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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تاریخ انتشار 2010