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Related Experiment Videos

Premedication for neonatal intubation

K J Barrington1, P J Byrne

  • 1University of California, San Diego, Medical Center, 92103-8774, USA.

American Journal of Perinatology
|June 13, 1998
PubMed
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Routine neonatal premedication for endotracheal intubation using atropine, fentanyl, and succinylcholine is safe and feasible. This policy ensures successful intubation while minimizing complications in newborns.

Area of Science:

  • Neonatal Medicine
  • Pediatric Critical Care
  • Anesthesiology

Background:

  • Neonatal endotracheal intubation is a common procedure in critical care settings.
  • Premedication is often considered to improve intubation success and patient comfort.
  • The safety and efficacy of routine premedication protocols in neonates require evaluation.

Purpose of the Study:

  • To assess the incidence of complications associated with neonatal endotracheal intubation.
  • To evaluate the safety and feasibility of a routine premedication policy.
  • To determine the impact of premedication on intubation success and procedural difficulties.

Main Methods:

  • Retrospective review of 269 consecutive neonatal endotracheal intubations.
  • Data collection on premedication status (atropine, fentanyl, succinylcholine) and intubation outcomes.

Related Experiment Videos

  • Analysis of intubation attempts, incidents, and use of alternative strategies.

    • Main Results:

    • 253 out of 269 intubations (94%) involved premedication with atropine, fentanyl, and succinylcholine.
    • 194 intubations (72%) were performed without incident.
    • Complications included 28 requiring two attempts and 22 requiring more than two attempts; 9 needed a smaller tube.

    Conclusions:

    • Routine neonatal premedication for endotracheal intubation is safe and feasible.
    • The policy is humane, contributing to successful intubation with manageable complication rates.
    • Premedication appears to be a beneficial practice in neonatal airway management.