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Premedication for endotracheal intubation in the newborn infant.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Barrington, Kj |
| Copyright Year | 2011 |
| Abstract | 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, therefore, should receive analgesic premedication for endotracheal intubation except in emergency situations. Based on current evidence, an optimal protocol for premedication is to administer a vagolytic (intravenous [IV] atropine 20 μg/kg), a rapid-acting analgesic (IV fentanyl 3 μg/kg to 5 μg/kg; slow infusion) and a short-duration muscle relaxant (IV succinylcholine 2 mg/kg). Intubations should be performed or supervised by trained staff, with close monitoring of the infant throughout. |
| File Format | PDF HTM / HTML |
| DOI | 10.1093/pch/16.3.159 |
| PubMed reference number | 22379381 |
| Journal | Medline |
| Volume Number | 16 |
| Issue Number | 3 |
| Alternate Webpage(s) | https://onlinereview.cps.ca/papers/endotracheal-intubation-newborn/print_ready.pdf |
| Alternate Webpage(s) | https://www.cps.ca/assets/pdfreactor/pdf.php?lang=en&paper=endotracheal-intubation-newborn |
| Alternate Webpage(s) | http://www.cps.ca/assets/pdfreactor/pdf.php?lang=en&paper=endotracheal-intubation-newborn |
| Alternate Webpage(s) | https://doi.org/10.1093/pch%2F16.3.159 |
| Journal | Paediatrics & child health |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
