Walter-Nicolet E, Flamant C, Négréa M, Parat S, Hubert P, Mitanchez D
Service de néonatologie, Assistance publique-Hôpitaux de Paris, hôpital d'enfants Armand-Trousseau, 26, avenue du Docteur-Arnold-Netter, 75012 Paris, France.
Arch Pediatr. 2007 Feb;14(2):144-9. doi: 10.1016/j.arcped.2006.10.023. Epub 2006 Dec 18.
Tracheal intubation is a painful procedure commonly used in the neonatal intensive care units and in the delivery rooms. It can be complicated by changes in vital signs.
To ascertain the use of sedatives and/or analgesics before tracheal intubation in French neonatal intensive care units and delivery rooms.
A survey by questionnaire sent to 58 neonatal intensive care units and 58 maternities.
We obtained 46 responses (79,3%) from the neonatal intensive care units and 38 (65,5%) from the delivery rooms. In neonatal intensive care units, 74% of the newborns received a sedative and/or an analgesic before being intubated, and 60% of the units had specific written guidelines. Opioïds and benzodiazepines were the main drugs used. In the delivery rooms, sedatives or analgesics were only used in 21% of the centres.
The use of sedation-analgesia seems to improve in neonatology but is still insufficient in the delivery rooms. The development of specific guidelines and a best learning about the different drugs are necessary.
气管插管是新生儿重症监护病房和产房常用的一项痛苦操作。它可能会因生命体征变化而出现并发症。
确定法国新生儿重症监护病房和产房在气管插管前使用镇静剂和/或镇痛药的情况。
通过问卷调查58个新生儿重症监护病房和58个产科。
我们收到了46个新生儿重症监护病房的回复（79.3%）和38个产房的回复（65.5%）。在新生儿重症监护病房，74%的新生儿在插管前接受了镇静剂和/或镇痛药，60%的病房有具体的书面指南。阿片类药物和苯二氮䓬类药物是主要使用的药物。在产房，只有21%的中心使用了镇静剂或镇痛药。
镇静镇痛的使用在新生儿科似乎有所改善，但在产房仍不充分。制定具体指南并更好地了解不同药物是必要的。
