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Morphine versus remifentanil for intubating preterm neonates

¹ Departments of Anesthesiology and Neonatology of the Lifecenter Hospital, Belo Horizonte, Minas Gerais, Brazil
² Department of Surgery of the Medical Faculty from Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
³ Department of Pediatrics of the Medical Faculty from Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil

Correspondence to:
Correspondence to:
Dr Yerkes Pereira e Silva
Rua Montevideu, 402—Apartment 402, Sion, Belo Horizonte, MG, Brazil; yerkesps{at}uol.com.br

ABSTRACT
A double-blind, randomised controlled study was conducted to evaluate the intubation conditions in 20 preterm neonates following the use of either morphine or remifentanil as premedication. The findings suggest that the overall intubation conditions were significantly better (p = 0.0034) in the remifentanil group than in the morphine group. No severe complications were observed in either group.

Abbreviations: NICU, neonatal intensive care unit; NIPS, neonatal infant pain scale; RDS, respiratory distress syndrome

Keywords: intubation; preterm neonate; remifentanil; morphine; pain