Remifentanil and Atropine for Intubation in Neonates

Remifentanil and Atropine for Intubation in Neonates; a Randomized Controlled Trial

The investigators hypothesize that the use of a combination of Atropine and Remifentanil will safely facilitate non emergent intubation procedure as effectively as the protocol of Atropine, Fentanyl, and Succinylcholine.

Inclusion Criteria:

• Hemodynamically stable neonates of any gestational age admitted to the Neonatal Intensive Care Unit at McMaster Children's Hospital requiring an elective endotracheal intubation was anticipated.

Exclusion Criteria:

• Urgent intubations
• Cyanotic congenital heart lesions
• Anticipated difficult airway
• Concurrent or recently administered (within 3 hours of the procedure) intravenous opioid infusions
• Pre-existing hyperkalemia
• Family history of malignant hyperthermia
• Prior enrollment