This study is a national prospective survey on practices of premedication before laryngoscopy in neonates. The survey will evaluate adequation to the French best practice guidelines to improve their dissemination and to identify current practices of premedication before laryngoscopy in neonates in French units (agents, dosing, efficacy, safety)
Laryngoscopy for intubation or less invasive surfactant administration (LISA) in neonates is a stressful and painful procedure that necessitates a sedo-analgesia except in the case of an immediate life-threatening emergency. Nevertheless, there are discrepancies in premedication practices amongst neonatal units. In order to optimize analgesia before laryngoscopy in neonates, the French neonatal society issued best practice guidelines in January 2023 for premedication before laryngoscopy in neonates. These guidelines were published in an English peer-reviewed journal and presented in national conferences. However, the implementation of new premedication protocols in neonatal units can be made difficult due to local habits, poor dissemination of the guidelines and a limited level of evidence on some premedication agents. Thus, conducting a survey one year after issuing the best practice guidelines on premedication seems important to evaluate French premedication practices and to evaluate the impact and dissemination of the guidelines
Study Type
OBSERVATIONAL
Enrollment
741
The survey will evaluate adequation to the French best practice guidelines to improve their dissemination and to identify current practices of premedication before laryngoscopy in neonates in French units (agents, dosing, efficacy, safety)
Centre Hospitalier Intercommunal de Creteil
Créteil, France
Proportion of patients who received a 1st sequence of sedo-analgesia consistent with best practice guidelines during laryngoscopy or laryngeal mask placement
Time frame: Immediately after the laryngoscopy
Molecules used for sedo-analgesia
Time frame: Immediately after the laryngoscopy
Cumulative doses of sedo-analgesia used
Time frame: Immediately after the laryngoscopy
Questionnaire for the operator describing reasons for non-compliance with best practice guidelines
Time frame: Immediately after the laryngoscopy
Numeric rating scale for pain (by operator and assistant)
Time frame: Immediately after the laryngoscopy
TRACHEA score (Tonus, Reactivity, Awareness & Conditions of intubation to Help in Endotracheal intubation Assessment)
TRACHEA score from 0 to 10 where 0 represents adequate sedation with excellent conditions of intubation and 10 represents inadequate sedation with very poor conditions of intubation
Time frame: Immediately after the laryngoscopy
Side effects related to the premedication
Time frame: Immediately after the laryngoscopy
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.