Ellen de Kort

79 Sedation assessment for neonatal intubation 5 Parameter for start intubation Start intubation Consequences insufficient sedation/relaxation Sedation and relaxation Good sedation and relaxation scores Additional propofol in case of unsatisfactory relaxation and sedation according to physician Sedation Good sedation scores Additional remifentanil until good sedation score Time SG: after complete remifentanil infusion; CG: 3 min after midazolam infusion Sedation At hypnosis, muscle relaxation or apnea Second dose in case of arousal at introduction of tube or excessively awake at 5 min Relaxation At onset of paralysis Extra atracurium (up to predefined maximum) Sedation Good sedation score Not applicable Sedation When sedation was scored yes by treating physician Extra propofol (up to a maximum of 3 doses) Time 2 min after remifentanil infusion Time 30 s after last drug administration Time 75 s after propofol administration Relaxation Cessation of spontaneous movements (succinylcholine group) or sufficient relaxation None mentioned Time 1-2 min after medication administration Another dose of fentanyl in case of 3 failed attempts Hypnosis and relaxation SG: disappearance of eyelash reflex CG: muscle relaxation SG: 1 extra dose of propofol CG: repeating doses of suxamethonium Preoxygenation Saturation > 95%, typically 2 min after fentanyl infusion Relaxation At suppression of muscle tone (cessation of movements and hypotonia limbs and jaw) SG: relaxation CG: time SG: once spontaneous movements had ceased CG: after fentanyl infusion None mentioned