Nebulized racemic epinephrine for extubation of newborn infants

[Pototo]

Does some body use it?  Any report?

 

[bimalc]

Not routinely, but for high risk extubations we often coordinate with ENT and make plans for things like race epi at extubation to Heliox.  I've also used it many times as rescue therapy when there is post-extubation stridor and I am trying to buy time for airway steroids to kick in.

[Hamed]

Only when showing post-extubation stridor agree with @bimalc      Although, @Pototo I would like to know did you mean Racemic epinephrine (before or after extubation)? 

[Pototo]

I refer  adrenalida aerosolized. 1 / 1000.  Just after extubation. In very preterm newborn.