Evidence map›Paper›PMID 41299098›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2026

Opioid and sedative use in extremely preterm infants receiving mechanical ventilation.

Zoe Henderson, Grace Fuller, Daniel K Benjamin, Rachel G Greenberg, Veeral N Tolia, Matthew M Laughon, Wesley M Jackson

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Zoe HendersonSchool of Medicine, University of New Mexico, Albuquerque, NM, USA.
Grace FullerSchool of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID http://orcid.org/0009-0000-7013-5566
Daniel K BenjaminDepartment of Economics, Clemson University, Clemson, SC, USA.
Rachel G GreenbergDuke Clinical Research Institute, Durham, NC, USA.ORCID http://orcid.org/0000-0003-4156-8543
Veeral N ToliaCenter for Research, Education, Quality and Safety, Pediatrix Medical Group, Sunrise, FL, USA.
Matthew M LaughonSchool of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0002-4052-3215
Wesley M JacksonSchool of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. wesley.jackson@unc.edu.ORCID http://orcid.org/0000-0002-9403-381X

Funding

Dose Optimization for Novel Drugs for Infants with Hypoxic-Ischemic EncephalopathyK23HD111623 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Wesley M Jackson · 2023 to 2026
$690k
Mentorship of Early-Career Clinicians in Bronchopulmonary Dysplasia Drug TherapiesK24HL143283 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LAUGHON, MATTHEW · 2019 to 2023
$613k
NHLBI NIH HHS K24 HL143283NICHD NIH HHS K23 HD111623U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) 1K24HL143283
6 · The paper itself

Abstract

objectiveQuantify opioid and sedative medication exposures in preterm infants receiving mechanical ventilation. STUDY

designCohort study of infants <28 weeks' gestation receiving any mechanical ventilation in the first 28 postnatal days. We examined exposure to morphine, fentanyl, midazolam, and lorazepam. We used logistic regression to examine the association between daily respiratory support and probability of medication administration.

resultsOf 36,067 infants, 15,025 (42%) received one or more medications. There was a decrease in exposure to fentanyl and benzodiazepines from 2012 to 2020. Major morbidities were lower in unexposed infants. The odds of receiving target medications were more than twice as high on high frequency mechanical ventilation days compared to conventional mechanical ventilation days (unadjusted odds ratio 2.47, 95% CI 2.36-2.59).

conclusionIn preterm infants receiving mechanical ventilation, the use of opioids or sedatives was common and high frequency ventilation was associated with higher exposure to medications.

Indexed as

Analgesics, OpioidHypnotics and SedativesInfant, Extremely PrematureRespiration, ArtificialCohort StudiesFemaleFentanylHumansInfant, NewbornLogistic ModelsLorazepamMaleMidazolamMorphineAnalgesics, OpioidFentanylHypnotics and SedativesLorazepamMidazolamMorphine

Identifiers

PMID41299098
PMCPMC12742289

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.