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Neurologici<br />

Percorsi Assistenziali Neonatologici Anno 2008<br />

23<br />

186<br />

SAN da barb<strong>it</strong>urici, benzodiazepine o alcool:<br />

Fenobarb<strong>it</strong>al: bolo di 15 mg/kg im o per os segu<strong>it</strong>o da mantenimento<br />

alla dose di 6 mg/kg/die in 2 dosi per os. Se lo score persiste pos<strong>it</strong>ivo,<br />

aumentare a 8 e poi a 10 mg/kg/die in 2 dosi per os. Se lo score si<br />

negativizza ridurre la dose del 25% ogni 24 ore fino ad un minimo di 3<br />

mg/kg/die e quindi sospendere.<br />

Diazepam: 0,1 – 0,3 mg/kg/h fino a negativizzazione dello score<br />

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Jul-Aug; 22(4):15-25.<br />

2. Johnson K, Gerarda C, Greenough A. Treatment of neonatal abstinence syndrome. Arch dis Child Fetal Neonatal Ed 2003;88:F2-<br />

F5<br />

3. Oei J, Lui K. Management of the newborn infant affected by maternal opiates and other drugs of dependency. J Paediatr Child<br />

Health 2007;43:9-18<br />

4. Osborn DA, Jeffery HE, Cole MJ. Sedatives for opiate w<strong>it</strong>hdrawal in newborn infants. Cochrane Database Syst Rev 2005 Jul<br />

20;(3):CD002053.<br />

5. Kandall SR. Treatment strategies for drug-exposed neonates. Clin Perinatol 1999;26:231-43.<br />

6. Kuschel C. Managing drug w<strong>it</strong>hdrawal in the newborn infant. Semin Fetal Neonatal Med 2007;12:127-33.<br />

7. Osborn DA, Jeffery HE, Cole M. Opiate treatment for opiate w<strong>it</strong>hdrawal in newborn infants. Cochrane Database Syst Rev<br />

2005: CD002059<br />

8. Ebner N, Rohrmeister K, Winklbaur B et al. Management of neonatal abstinence syndrome in neonates born to opioid<br />

maintained women. Drug Alcohol Dependence 2007;87:131-8

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