Nebulized racemic epinephrine for extubation of newborn infants

[Pototo 3]

Does some body use it?  Any report?

 

[bimalc 105]

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.