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01-12-2013 | Original Article

Use of analgesic and sedative drugs in VLBW infants in German NICUs from 2003–2010

Authors: Katrin Mehler, André Oberthuer, Christoph Haertel, Egbert Herting, Bernd Roth, Wolfgang Goepel, German Neonatal Network (GNN)

Published in: European Journal of Pediatrics | Issue 12/2013

Abstract

Very low birth weight (VLBW) infants frequently receive analgesia and/or sedation for painful procedures and mechanical ventilation to avoid negative stress. Yet, concerns remain regarding potential adverse long-term effects of these drugs on VLBW infants' neurocognitive outcome. Recent studies have shown that less invasive surfactant application (LISA) and early nasal CPAP treatment reduce the need for mechanical ventilation and painful procedures. Therefore, these measures might also reduce the application of analgesic and/or sedative drugs in VLBW infants. To evaluate this hypothesis and to identify potential changes in analgesic treatment concepts in recent years, we retrospectively analyzed data on analgesia and sedation, respiratory support, and the method of surfactant application in VLBW infants enrolled in the German Neonatal Network (GNN) trial between 2003 and 2009 (period 1) and compared it with data from infants participating in GNN in 2010 (period 2). In both periods, about one third of all infants were treated with analgesic and/or sedative drugs using a wide variety of substances. The administration of novel drugs such as propofol, sufentanil, or intravenous paracetamol was higher in 2010 (6.7 vs. 12.2 %). Infants who were treated with CPAP only received significantly less analgesic/sedative medication than infants who were mechanically ventilated (12 vs. 65 %, p = <0.001). Similarly, infants treated with LISA received less analgesic or sedative drugs as compared to infants who received surfactant via endotracheal intubation (36 vs. 63 %, p = 0.001). Conclusion: Although both avoidances of mechanical ventilation and less invasive surfactant application are associated with reduced analgesic or sedative treatment, the percentage of VLBW infants who received analgesia and/or sedation remained unchanged in Germany in recent years.

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Title: Use of analgesic and sedative drugs in VLBW infants in German NICUs from 2003–2010
Authors: Katrin Mehler
André Oberthuer
Christoph Haertel
Egbert Herting
Bernd Roth
Wolfgang Goepel
German Neonatal Network (GNN)
Publication date: 01-12-2013
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Pediatrics / Issue 12/2013
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI: https://doi.org/10.1007/s00431-013-2095-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Use of analgesic and sedative drugs in VLBW infants in German NICUs from 2003–2010

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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