Umbilical Vein Needle Catheterization for Endotracheal Intubation.
Study Details
Study Description
Brief Summary
The investigators describe a simple and efficient method to give a premedication in the delivery room, using the umbilical vein, directly punctured through Wharton's jelly.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
The umbilical vein is punctured to inject drugs efficiently. The access is simple, the umbilical vein is clearly visible, and a blood reflux can be found easily. The investigators used the same equipment required for a peripheral venous injection: 24 gauge cannula, antisepsis, compress, and a syringe with the prepared anesthetic drugs. The investigators report 5 cases of intubations in the delivery room using this method to administer the premedication.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Preterm infants intubated All participants were preterm infants intubated in the delivery room for Infantile Respiratory Distress Syndrome (IRDS). The purpose of this research is to determine a premedication of intubation. This consists of describing a simple and effective method for premedication in the delivery room, using the umbilical vein, directly perforated through the Wharton jelly. |
Procedure: Premedication of intubation
The umbilical vein is punctured to inject drugs efficiently. The access is simple, the umbilical vein is clearly visible, and a blood reflux can be found easily. We used the same equipment required for a peripheral venous injection: 24 gauge cannula, antisepsis, compress, and a syringe with the prepared anesthetic drugs. We report 5 cases of intubations in the delivery room using this method to administer the premedication.
|
Outcome Measures
Primary Outcome Measures
- Conditions of intubation [Seven months]
Classified from bad to excellent, depending on the neonates' residual tone, vocal chords mobility, and persistence of movements while inserting the tube.
Secondary Outcome Measures
- Duration of intubation [Seven months]
The investigators measure the time in seconds between insertion of the tube and the end of fixation.
Eligibility Criteria
Criteria
Inclusion Criteria:
- All the patients were preterm neonates intubated in the delivery room for infant respiratory distress syndrome (IRDS).
Exclusion Criteria:
- Refusal of legal owners
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Centre Hospitalier René Dubos | Pontoise | France | 95390 |
Sponsors and Collaborators
- Centre Hospitalier René Dubos
Investigators
- Principal Investigator: Suzanne BORRHOMEE, Centre Hospitalier René Dubos
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CHRD0417