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Premedication for intubation in neonates
  1. DIANE M ATTARDI
  1. DAVID A PAUL,
  2. DEBORAH J TUTTLE
  1. JAY S GREENSPAN
  1. Division of Neonatology
  2. Monmouth Medical Center
  3. Long Branch, NJ 07740, USA
  4. email: MVADMT@AOL.COM
  5. Division of Neonatology
  6. Christiana Care Health Services
  7. Newark, DE 19718, USA
  8. Division of Neonatology
  9. Thomas Jefferson University
  10. Philadelphia, PA 19107, USA

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Editor—We were very interested in the recent papers by Bhutada et al 1and Whyte et al 2 on the use of premedication for semielective intubation in neonates. It is now well accepted that term and preterm neonates tolerate awake intubation poorly, often exhibiting hypoxia, bradycardia, and systemic and intracranial hypertension during nasotracheal or orotracheal intubation.3 ,4 Analgesia and sedation are still used infrequently in nurseries for intubation and other “routine”, but invasive, …

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