RESUMO
The use of baclofen in neonates has been minimally reported. We report on two term neonates who were treated successfully for hypertonia with baclofen.
Assuntos
Baclofeno/uso terapêutico , Hipertonia Muscular/tratamento farmacológico , Relaxantes Musculares Centrais/uso terapêutico , Baclofeno/administração & dosagem , Relação Dose-Resposta a Droga , Feminino , Humanos , Recém-Nascido , Masculino , Relaxantes Musculares Centrais/administração & dosagemRESUMO
We report a case of a 25-day old, former 34-week gestation male newborn who experienced neonatal seizures following administration of subcutaneous lidocaine for regional anesthesia during an elective circumcision prior to discharge.
Assuntos
Anestésicos Locais/efeitos adversos , Circuncisão Masculina , Lidocaína/efeitos adversos , Convulsões/induzido quimicamente , Humanos , Recém-Nascido , Recém-Nascido Prematuro , MasculinoRESUMO
Maternal use of the antispasmodic baclofen during pregnancy is an uncommon clinical scenario and leads to uncertainty regarding neonatal risks. We present a team-based, peripartum management plan designed for safe monitoring and minimizing the risk of neonatal withdrawal after unusual drug exposure. Incorporating the expertise of neonatology, nursing, pharmacy, neurology, and the lactation service, as well as parental input, this consensus approach was implemented in a case of maternal oral baclofen use with a successful outcome for the infant and family.