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A study of intranasal remifentanil for intubation and surfactant administration in newborns

Intranasal remifentanil for pain management during intubation and surfactant administration in premature newborns – a randomised double blind controlled pilot study of efficacy

Status
Not yet recruiting
Phases
Phase 2
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12612000386831
Acronym
RHINO
Enrollment
40
Registered
2012-04-04
Start date
2012-07-01
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The primary purpose of this study is to determine the efficacy of intranasal remifentanil for improving intubating conditions in neonates requiring the INSURE procedure as part of their medical care. Usual pain management (comfort/environmental measures and age/weight-appropriate sucrose) will be provided to all neonates.

Interventions

Prior to the intubation surfactant extubation (INSURE) procedure, babies will receive standard care plus intranasal remifentanil 2 micrograms/kg.

Sponsors

Associate Professor Ian Wright
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
28 Weeks to 44 Weeks
Healthy volunteers
No

Inclusion criteria

Born at John Hunter Childrens Hospital and transferred to Neonatal Intensive Care Unit. Require the INSURE procedure as part of their medical care. Are 28–44 weeks post-conceptional age at the time of the procedure.

Exclusion criteria

Need for urgent intubation for resuscitation. Major congenital anomalies likely to influence reliability of the primary outcome measure. Severe neurological obtundation. Current clinical seizures. Concomitant muscle relaxant.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026