• E Walter-Nicolet, C Flamant, M Négréa, S Parat, P Hubert, and D Mitanchez.
• Service de néonatologie, Assistance publique-Hôpitaux de Paris, hôpital d'enfants Armand-Trousseau, 26, avenue du Docteur-Arnold-Netter, 75012 Paris, France. elizabeth.walter@rth.ap-hop-paris.fr
• Arch Pediatr. 2007 Feb 1; 14 (2): 144-9.

UnlabelledTracheal 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.ObjectiveTo ascertain the use of sedatives and/or analgesics before tracheal intubation in French neonatal intensive care units and delivery rooms.MethodsA survey by questionnaire sent to 58 neonatal intensive care units and 58 maternities.ResultsWe 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.ConclusionThe 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.

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