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.
Aluminum alloys made from machining chips that have been heat treated and re‐melted, have been successfully foamed (after the addition of TiH2) using processes analogous to both the “Alporas” and “Formgrip” methods. The high oxygen contents associated with the swarf (0.11 wt% for the as‐received material, increasing to >0.5 wt% after conditioning) results in large fractions of both clustered and dispersed oxide films in the melt. It is these films that enhance the “foamability” of this material. Through additional alloying with Mg and holding in the liquid state to allow reaction to take place, fragmentation and wetting of the oxides occurs and foams with low densities (<0.3 g cm−3), good pore structures, and good stability were obtained. The use of scrap material, without costly or embrittling additives, offers a low cost route to the manufacture of high quality foams.
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