[A national survey on pain management before tracheal intubation in neonates in French type III maternity units]. / Enquête nationale sur la prise en charge de la douleur liée à l'intubation trachéale du nouveau-né dans les maternités de niveau III.
Arch Pediatr
; 20(2): 123-9, 2013 Feb.
Article
em Fr
| MEDLINE
| ID: mdl-23245868
ABSTRACT
BACKGROUND:
Various analgesics and sedatives are currently available for critically ill newborns requiring tracheal intubation in the delivery room. Even if pain management has improved over the past few years, there are few recent data on the French clinical practices in the delivery room.OBJECTIVES:
To describe the use of sedatives and/or analgesics before tracheal intubation in the delivery rooms of French type III maternity units.METHODS:
A phone interview was conducted in 63 maternity units between April and August 2011.RESULTS:
Sixty-two maternity units (98%) completed the interview. Twenty-nine percent of the preterm newborns requiring intubation for elective surfactant therapy and 77.4% requiring intubation for prophylactic surfactant therapy did not receive any sedative and/or analgesic treatment. Written guidelines were present in 58.1% of the units. The most frequent sedative and/or analgesic treatments were sufentanil, ketamine, midazolam, and propofol. The first vascular access was a central umbilical catheter or a peripheral venous catheter for most of the centers.CONCLUSION:
The use of sedation-analgesia is still insufficient in French maternity units. Tracheal intubation without the use of analgesia and sedation should be performed only for life-threatening situations in the delivery room.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Padrões de Prática Médica
/
Manejo da Dor
/
Intubação Intratraqueal
Tipo de estudo:
Guideline
/
Observational_studies
/
Qualitative_research
Limite:
Humans
/
Newborn
País/Região como assunto:
Europa
Idioma:
Fr
Revista:
Arch Pediatr
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
França