Abstract
The incidence of complications was recorded for 269 consecutive neonatal endotracheal intubations after instituting a routine policy of premedication. Two hundred and fifty-three of the intubations were premedicated with a combination of atropine, fentanyl and succinylcholine, 194 were without incident, 28 required two attempts, 22 required more than two attempts, and 9 required a second attempt with a smaller endotracheal tube. All infants were successfully intubated. We conclude that a policy of routine neonatal premedication for intubation is safe, feasible, and humane.
MeSH terms
-
Adjuvants, Anesthesia / administration & dosage
-
Adjuvants, Anesthesia / therapeutic use
-
Anesthetics, Intravenous / administration & dosage
-
Anesthetics, Intravenous / therapeutic use
-
Atropine / administration & dosage
-
Atropine / therapeutic use
-
Birth Weight / physiology
-
Cohort Studies
-
Fentanyl / administration & dosage
-
Fentanyl / therapeutic use
-
Humans
-
Infant
-
Infant, Newborn / physiology*
-
Intermittent Positive-Pressure Ventilation
-
Intubation, Intratracheal / adverse effects
-
Intubation, Intratracheal / methods*
-
Neuromuscular Depolarizing Agents / administration & dosage
-
Neuromuscular Depolarizing Agents / therapeutic use
-
Premedication / adverse effects
-
Premedication / methods*
-
Succinylcholine / administration & dosage
-
Succinylcholine / therapeutic use
Substances
-
Adjuvants, Anesthesia
-
Anesthetics, Intravenous
-
Neuromuscular Depolarizing Agents
-
Atropine
-
Succinylcholine
-
Fentanyl