Premedication for Intubation
Quick Reference Guide

1. Appropriate dose must be charted on Drug Prescription Chart.  Please chart the concentration of the medication, as well as the volume.
2. Choose the weight most appropriate for the baby (above).
3. Suxamethonium should not be given in the presence of significant hyperkalaemia.
4. Drugs should be given in the order of:
   1. Atropine (wait for a rise in HR of >20bpm)
   2. Fentanyl (wait at least 30 seconds for onset of action)
   3. Suxamethonium
5. In the event of an unsuccessful intubation attempt, Suxamethonium can be administered again.
   Atropine and Fentanyl doses should not be repeated.
6. Fentanyl should be given as a slow push (rapid pushes may cause chest wall rigidity). The onset of action is rapid.
7. Dosage range for Suxamethonium 1 to 3 mg/kg IV