Medication & Pharmacology

Twitter is really great some time. Check out this discussion started by @AllThingsNeonatal about paralytics for intubation!

Is there anyone using clarytromycine in newborn ? reference ? dose ?

Continuing a topic started on twitter, I would like to ask the 99nicu community. What muscle relaxant do you use in preterms and neonates primarily? Tell us about your experiences? What dose do you use?

Hi 99ers, May I plant a hypothetical scenario to prompt a discussion around the number of steroid courses (DART/Durand etc) to promote extubation. An ex 23 weeker, now 6 weeks old, extubated onto FDCPAP (FiO2 0.7) following second DART regime, but O2 now climbing and now consistently > 0.9 (3 days post end of previous DART). Gaining weight, Diuretics, Ureaplasma -ve, Azithromycin trialled, compensated gases and evolving PIE. Would you reduce your saturation limits and tolerate the high FiO2 requirement, commence a third course of steroid prior to intubation, intubate and then start a 3rd course. Would you ever consider a fourth trial of steroids? Thank…

Anyone using safe and time-efficient ways of calculating common infusions, such as morphine/ muscle relaxants/ inotropes/ prostaglandin etc? I’ve come across spreadsheets with weight as variable and some stickers. But looking for ideas and to gain from other good practices too! Sent from my iPhone using Tapatalk

are caffeine citrate oral and iv solutions ( Both clear and colorlesss) any different

Hello, I am a NICU nurse in training and for my study I have an assignment. For this assignment I want information from as many NICU's as possible about priming the infusion sets before starting the insulin infusion. Does this happen in your NICU, and if so, how? Do you have protocols I can use? Which concentrations are used and which flow rate

Hi all! I was trained to use morphine as premed before (semi-planned) intubation but our protocol and practise has changed to fentanyl as analgesic drug (in addition to atropin, pento and +/- celocurin) What is your experience with stiffening of the chest and laryngospasm? If you use fentanyl, what is your dose and over how many minutes do you inject it?

We are a pair of neonatologists working in Poland and Hungary. We have created a questionnaire to asses the use of premadication for neonatal intubation. Despite existing recommendations, a wide variation in frequency and type of specific drugs used forpremedication for neonatal intubation still exists among neonatal practitioners. The aim of our questionnaire is to assess the true rate of utilisation of premedication for non-emergency neonatalintubation in different countries across Europe. Furthermore, attitudes and experiences in regards to safety, side effects and efficiency will be evaluated. Please find the attached link to the questionnaire…

Greetings to all members of this esteemed forum and thank you in advance for your response(s). As a medical student and during my residency training, it was routine to administer vitamin k to every newborn. However, it appears the practice is being abandoned in my part of the world. What is the position in your country regarding this practice? In addition to your responses, if there are recent material(s) to support the position in your country or locality, I will be glad to have have them. Looking forward to hearing from as many members as possible. Dr Okposio Matthias Nigeria