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Related Experiment Videos

Are newborns receiving premedication before elective intubation?

S Sarkar1, R E Schumacher, S Baumgart

  • 1Department of Pediatrics, Division of Neonatal-Perinatal Medicine, University of Michigan, Ann Arbor, 48109, USA. subratas@med.umich.edu

Journal of Perinatology : Official Journal of the California Perinatal Association
|April 7, 2006
PubMed
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Most neonatal intensive care units (NICUs) do not consistently use premedication for newborns undergoing elective endotracheal intubation. This practice lacks written guidelines, highlighting a need for educational interventions to improve infant care.

Area of Science:

  • Neonatal Medicine
  • Pediatric Critical Care

Background:

  • Elective endotracheal intubation is a common procedure in neonatal intensive care units (NICUs).
  • Premedication for intubation in neonates is supported by evidence of physiological and practical benefits.
  • Current practices regarding neonatal intubation premedication are not well-defined.

Purpose of the Study:

  • To assess the frequency and types of premedication used for elective endotracheal intubation in US NICUs.
  • To identify the availability of written policies for neonatal intubation premedication.

Main Methods:

  • A survey was distributed to program directors of Neonatal-Perinatal Medicine fellowship programs in the United States.
  • The questionnaire focused on premedication practices for elective endotracheal intubation in neonates.

Related Experiment Videos

  • Response rate was 78% (78 out of 100 contacted individuals).

    • Main Results:

    • Only 43.6% of respondents always use premedication for elective neonatal intubation.
    • A written policy for premedication was reported by only 24.4% of NICUs.
    • Opioids like morphine or fentanyl were most common; benzodiazepines and muscle relaxants were used less frequently.

    Conclusions:

    • A majority of NICU directors do not consistently administer premedication before elective intubation, despite known benefits.
    • The lack of written guidelines for sedation hinders effective practice auditing.
    • Educational interventions are recommended to promote evidence-based premedication practices in neonatal care.