Conflict of interest: None declared.
Premedication for neonatal intubation in Australia and New Zealand: A survey of current practice
Article first published online: 8 OCT 2012
© 2012 The Authors. Journal of Paediatrics and Child Health © 2012 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
Journal of Paediatrics and Child Health
Volume 48, Issue 11, pages 997–1000, November 2012
How to Cite
Wheeler, B., Broadbent, R. and Reith, D. (2012), Premedication for neonatal intubation in Australia and New Zealand: A survey of current practice. Journal of Paediatrics and Child Health, 48: 997–1000. doi: 10.1111/j.1440-1754.2012.02589.x
- Issue published online: 5 NOV 2012
- Article first published online: 8 OCT 2012
- Accepted for publication 15 October 2011.
Aim: This study aims to describe the current approach to intubation premedication in neonatal intensive care units (NICUs) in Australia and New Zealand
Methods: A literature review regarding intubation premedication in the newborn was carried out to inform questionnaire design. A web-based survey of 28 NICUs and two neonatal emergency transport services was conducted and supplemented by telephone contact to ensure completion.
Results: All the tertiary NICUs and neonatal emergency transport services in Australia and New Zealand use premedication for elective intubation of neonates. Eighty per cent of units have a written policy. There were 28 of 30 units (93%) that use muscle relaxants, mostly suxamethonium. The choice of sedative medication is varied.
Conclusions: Australian and New Zealand neonatal units have a high use of intubation premedication including muscle relaxants, but vary considerably in their choice of sedative medication.