Publications by authors named "B Gouyon"

Purpose: Opioids are frequently used to treat pain in neonatal intensive care units (NICU) with fentanyl, morphine and sufentanil being mainly used agents. Equianalgesic potency between opioids is not clearly described in the neonatal population. The aim of this study was to compare theoretical and actual equipotent conversion ratios between morphine, sufentanil and fentanyl based on prescriptions.

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Analgesia and sedation are often provided during mechanical ventilation in extremely preterm neonates. Opioids and benzodiazepines are the most frequently used agents but can have adverse effects. Dexmedetomidine, an alpha-2 agonist, might be interesting to spare opioid and benzodiazepine use.

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Aims: Gastro-oesophageal reflux is common in newborns, especially in premature infants. Treatment by medication is controversial as the drugs prescribed have not been consistently proven to be effective and are known to have adverse effects. This study sought to identify trends in the prescription of anti-reflux medication in a large group of French neonatal units.

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Article Synopsis
  • Diuretics are commonly used in neonatal wards, despite little proof of effectiveness for several conditions, prompting a study on their use rates in a multicenter French cohort.
  • An observational study included 86,032 neonates, finding an overall diuretic exposure rate of 8.5%, with significant variation across different medical centers (2.4% to 26.5%).
  • The main drugs used were furosemide, spironolactone, and dopamine, often prescribed for fluid retention, but practices differed among centers, sometimes exceeding safe dosage and treatment duration limits.
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Environmental factors influence the development of very preterm infants (VPIs, born at less than 32 weeks of gestation). It is important to identify all potential sources of paraben exposure in these vulnerable infants. We aimed to quantify paraben exposure via drug administration in a cohort of VPI cared for in neonatal intensive care units (NICUs).

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