Intubation of Newborns

Newborns should be receiving premedication before elective intubation

“…In contrast to findings in the other national surveys, [7][8][9][10][11][12] midazolam was the preferred sedative in this SA study. Many participants used midazolam as the only premedication drug.…”

“…No consensus exists regarding the choice of agent/s, their dose/s or the ideal route of administration, [6] mirroring the findings of the present study and other surveys. [7][8][9][10][11][12] Suxamethonium, as in other national surveys, [7][8][9][10][11][12] was the most commonly used muscle relaxant and is currently considered to be the best choice [17] because of its rapid onset, short duration of action and good side-effect profile.…”

Premedication for neonatal intubation: Current practice in Saudi Arabia

“…These may include concerns over adverse effects and lack of familiarity regarding the benefits of premedication. This is consistent, for the most part, with the barriers reported by Ziegler[13] but was not evident in a large multicenter observational study by Simon et al . [10] Strategies to overcome misconceptions about the routine utilization of premedication should address both personal and knowledge-deficient barriers through continuous education, identify appropriate treatment regimens (RSI medications) together with raising awareness of potential side effects and specific methods of drug reversal.…”

Premedication before intubation in UK neonatal units

“…These results show that most UK units do not premedicate before intubation. Our findings are similar to those of Ziegler and Todres 10. Reasons were not formally documented, but many commented that there wasn't time, particularly in an emergency reintubation.…”