Abstract 1848
In absence of agreed indications for N, B and P in babies with assisted ventilation, practices may vary between units.
Objective: To determine variation in prevalence on N, B and P in babies who receive assisted ventilation.
Method: Analyses of birthweight (BW), mean days on assisted ventilation (DV), and use of N, B and P from reports to CANICU in 1996-97.
Results: In 7,535 babies (mean DV = 9.0) use of N among sites varied from 21.4 - 87.7% (mean 57.0%); B from 0.0 -58.8% (mean 14.0%) and P from 0.1-40.8% (mean 15.6%). Hospitals with low N use also tended to have low B use. The use of N or B was not correlated with illness severity (SNAPII) but was correlated with treatment intensity (NTIISS) -N (P=.004), B (P=.04).
Conclusions: The considerable site variation in use of N, B, and P, and lack of correlation with illness severity suggests variation in physician preference. Indications for N, B, and P in newborn babies with assisted ventilation need to be more clearly defined.
Funded by the Medical Research Council of Canada.
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(Spon by: Judith Hall)
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Ohlsson, A., McMillan, D., Schmidt, B. et al. Variations in Use of Narcotics (N), Benzodiazepins (B), and Pancuronium (P) in Newborn Babies with Assisted Ventilation. Pediatr Res 45, 313 (1999). https://doi.org/10.1203/00006450-199904020-01864
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DOI: https://doi.org/10.1203/00006450-199904020-01864
