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?

We use mivacurium for semi-elective intubation.

11 hours ago, AntoineBachy said:

We use mivacurium for semi-elective intubation.

What dose do you use? and what is your experience?

On 8/18/2020 at 4:21 AM, Francesco Cardona said:

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?

I trained using Rocuronium for intubation and during GA for bedside OR cases. When the hospital trying to conserve roc we used vecuronium as a muscle relaxer for intubated patients who needed it.

At my current institution, we use succinylcholine for non-emergent intubation and vecuronium if continued paralysis is required.

We use Rocuronium infusion. Our experience is limited to neonatal tetanus. 

On 8/19/2020 at 9:58 PM, Francesco Cardona said:

What dose do you use? and what is your experience?

0.2 mg/kg

seems to work well (but based on our small experience ...)

Depends on what indications your askig about. For RSI its Succinylcholine. We don’t routinely paralyze the babies unless we have to. The choice would be roc.

 

I think we started to understand the importance of spontaneous breathing and how it help recruitment and improving V/Q mismatch.