Use of methohexital for elective intubation in neonates
Department of Paediatrics, UZ Gasthuisberg, Leuven,
Belgium
Correspondence to: H Devlieger, Department of Paediatrics, UZ Gasthuisberg, Herestraat, B-300 Leuven, Belgium.
Accepted 4
March 1997
The effectiveness and safety of a short acting barbiturate,
methohexital, was assessed for its use at the time of elective intubation in 18 newborn infants with severe respiratory or cardiac conditions. Evaluation included the speed of action and
the degree of relaxation, sedation, and sleep in the first five minutes
after administration. All newborn infants were intubated in a fully relaxed and somnolent state. In most infants recovery was completed within five minutes.
A slight to moderate oxygen saturation drop was observed
during the period of intubation, especially in patients with cyanotic heart disease. The side effects of the drug were twitching and a slight
drop in blood pressure.
In conclusion, methohexital seems to be a useful drug for
short term anaesthesia in neonates, during which, short procedures like
elective intubation can be safely performed.
© 1997 by Archives of Disease in Childhood
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