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Table 2 Use of analgesia and sedation by type of ventilation

From: Sedation and analgesia practices at Italian neonatal intensive care units: results from the EUROPAIN study

 

Total

(N = 422)

n (%)

Invasive ventilation

(N = 131)

n (%)

Noninvasive ventilation

(N = 150)

N (%)

Spontaneous ventilation

(N = 141)

n (%)

p

Use of analgesia and/or sedation

149 (35.3)

113 (86.3)

26 (17.3)

10 (7.1)

<.0001

Method of administration:

     

Bolus only

54 (36.2)

33 (29.2)

18 (69.2)

3 (30)

0.0035

Continuous only

34 (22.8)

28 (24.8)

4 (15.4)

2 (20)

 

Continuous and bolus

61 (40.9)

52 (46.0)

4 (15.4)

5 (50)

 

Strong analgesicsa

137 (32.5)

109 (83.2)

21 (14.0)

7.0 (5.0)

<0.0001

 Morphine

11 (2.6)

11 (8.4)

0 (0.0)

0 (0.0)

<0.0001

 Fentanyl

131 (31.0)

103 (78.6)

21 (16.0)

7 (5.3)

<0.0001

 Ketamine

2 (0.2)

2 (1.5)

0 (0.0)

0 (0.0)

0.0959

Sedativesa

45 (10.7)

35 (26.7)

5 (3.3)

5 (3.6)

<0.0001

 Propofol

5 (1.2)

4 (3.1)

1 (0.7)

0 (0.0)

0.0434

 Midazolam

38 (9.0)

29 (22.1)

4 (2.7)

5 (3.5)

<0.0001

Mild analgesicsa

16 (3.8)

9 (6.9)

4 (2.7)

3 (2.1)

0.0823

 Paracetamol

14 (3.3)

8 (6.1)

3 (2.0)

3 (2.1)

0.1369

 Local anesthetics

2 (0.5)

1 (0.8)

1 (0.7)

0 (0.0)

0.7619

Neuromuscolar blockers

7 (1.7)

7 (5.3)

NA

NA

NA

 Drug withdrawal

4 (2.8)

4 (3.6)

00 (0.0)

00 (0.0)

1.000

 Pain assessment

285 (67.5)

112 (85.5)

101 (67.3)

72 (51.1)

<0.0001

  1. a only the main medications are described in detail