Umbilical Vein Needle Catheterization for Endotracheal Intubation.

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Umbilical Vein Needle Catheterization for Endotracheal Intubation.

Conditions
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Infant Respiratory Distress Syndrome

Intervention / Treatment
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* Procedure: Premedication of intubation


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Maximum Age: 30 Minutes

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Preterm infants intubated<br>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<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Conditions of intubation | Classified from bad to excellent, depending on the neonates' residual tone, vocal chords mobility, and persistence of movements while inserting the tube. | Seven months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Duration of intubation | The investigators measure the time in seconds between insertion of the tube and the end of fixation. | Seven months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Delivery room, Endotracheal intubation, Neonatal premedication