Naloxone during neonatal resuscitation: Acknowledging the unknown

被引:9
作者
Guinsburg, R
Wyckoff, MH
机构
[1] Univ Fed Sao Paulo, Div Neonatal Med, Dept Pediat, BR-01410020 Sao Paulo, Brazil
[2] Univ Texas, SW Med Ctr, Dept Pediat, Div Neonatal Perinatal Med, Dallas, TX 75290 USA
关键词
D O I
10.1016/j.clp.2005.11.017
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
There are no studies to support or to refute the current recommendations regarding naloxone concentration, routes for administration, and doses in neonatal resuscitation in the delivery room. Given the lack of supporting evidence, naloxone should not be given routinely in the delivery room to depressed neonates whether or not they are exposed to opioids before delivery because no important improvement has been documented and the drug may have potential short and long-term harmful effects.
引用
收藏
页码:121 / +
页数:13
相关论文
共 40 条
[1]  
*AM AC PED AM HEAR, 1994, TXB NEON RES
[2]  
*AM HEART ASS AM A, 1990, TXB NEON RES
[3]   THE TRANSMISSION OF MEPERIDINE ACROSS THE HUMAN PLACENTA [J].
APGAR, V ;
BURNS, JJ ;
BRODIE, BB ;
PAPPER, EM .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1952, 64 (06) :1368-1370
[4]   NALOXONE REVERSAL OF MILD NEUROBEHAVIORAL DEPRESSION IN NORMAL NEWBORN-INFANTS AFTER ROUTINE OBSTETRIC ANALGESIA [J].
BONTA, BW ;
GAGLIARDI, JV ;
WILLIAMS, V ;
WARSHAW, JB .
JOURNAL OF PEDIATRICS, 1979, 94 (01) :102-105
[5]   EFFECTS OF PETHIDINE AND ITS ANTAGONISTS ON THE NEWBORN [J].
BRICE, JEH ;
MORELAND, TA ;
WALKER, CHM .
ARCHIVES OF DISEASE IN CHILDHOOD, 1979, 54 (05) :356-361
[6]  
BRONOWSKI J, 1973, ASCENT MAN, P153
[7]  
CASTRO RM, 1993, BRAZ J MED BIOL RES, V26, P747
[8]   NALOXONE REVERSES NEONATAL DEPRESSION CAUSED BY FETAL ASPHYXIA [J].
CHERNICK, V ;
CRAIG, RJ .
SCIENCE, 1982, 216 (4551) :1252-1253
[9]   NALOXONE DECREASES THE DURATION OF PRIMARY APNEA WITH NEONATAL ASPHYXIA [J].
CHERNICK, V ;
MADANSKY, DL ;
LAWSON, EE .
PEDIATRIC RESEARCH, 1980, 14 (04) :357-359
[10]   CLINICAL-TRIAL OF NALOXONE IN BIRTH ASPHYXIA [J].
CHERNICK, V ;
MANFREDA, J ;
DEBOOY, V ;
DAVI, M ;
RIGATTO, H ;
SESHIA, M .
JOURNAL OF PEDIATRICS, 1988, 113 (03) :519-525