Infant Respiratory Distress Syndrome
Conditions
Keywords
Endotracheal intubation, Neonatal premedication, Delivery room
Brief summary
The investigators describe a simple and efficient method to give a premedication in the delivery room, using the umbilical vein, directly punctured through Wharton's jelly.
Detailed description
The umbilical vein is punctured to inject drugs efficiently. The access is simple, the umbilical vein is clearly visible, and a blood reflux can be found easily. The investigators used the same equipment required for a peripheral venous injection: 24 gauge cannula, antisepsis, compress, and a syringe with the prepared anesthetic drugs. The investigators report 5 cases of intubations in the delivery room using this method to administer the premedication.
Interventions
The umbilical vein is punctured to inject drugs efficiently. The access is simple, the umbilical vein is clearly visible, and a blood reflux can be found easily. We used the same equipment required for a peripheral venous injection: 24 gauge cannula, antisepsis, compress, and a syringe with the prepared anesthetic drugs. We report 5 cases of intubations in the delivery room using this method to administer the premedication.
Sponsors
Study design
Eligibility
Inclusion criteria
* All the patients were preterm neonates intubated in the delivery room for infant respiratory distress syndrome (IRDS).
Exclusion criteria
* Refusal of legal owners
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Conditions of intubation | Seven months | Classified from bad to excellent, depending on the neonates' residual tone, vocal chords mobility, and persistence of movements while inserting the tube. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of intubation | Seven months | The investigators measure the time in seconds between insertion of the tube and the end of fixation. |
Countries
France