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Premedication before intubation in UK neonatal units
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  • Published on:
    Premedication of neonates revisited
    • Sanjay Gupta, Anaesthetic Registrar, Paediatric Intensive Care Unit

    Dear Editor:

    A recent advance in premedicating infants requiring intubation has gained wide acceptance for humanitarian and physiological reasons.[1] The use of muscle relaxation to facilitate intubation is quite separate from sedation providing analgesia, amnesia and lack of awareness.

    Practice is variable with little evidence-based guidance to suitable drugs. Clinical Governance dictates continuing a...

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    Conflict of Interest:
    None declared.
  • Published on:
    Premedication before intubation of neonates in The Netherlands

    Dear Editor

    With great interest we read the paper by Whyte et al regarding the practice of premedication before intubation in UK neonatal units.[1] Their finding that only 37% of the units gave any sedation before intubation is worrysome in view of the known physiologic responses to awake intubation.[2-4] However, one potential bias in their study design was not discussed.

    Since the information regarding...

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    Conflict of Interest:
    None declared.
  • Published on:
    Premedication before procedures in neonates


    Neonates are exposed to many procedures, including intubation, IV access, central line placement, chest tube insertion, lumber puncture, catheterisation, suprapubic aspiration etc. These procedures are associated with pain and stress. No clear guidelines are available for alleviating the distress by premedication before such procedures. Researchers are looking for methods to minimise the pain and distre...

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    Conflict of Interest:
    None declared.
  • Published on:
    Premedication for neonatal intubation - current practice in Australia and the UK

    The paper by Bhutada et al (1) adds to the growing body of evidence that premedication for tracheal intubation in neonates both improves physiological stability and makes the procedure easier to perform. The results of the telephone survey of premedication use in UK neonatal units by Whyte et al (2) helps to define current practice. In a similar study, we recently tried to define the routine use of premedication for trac...

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    Conflict of Interest:
    None declared.