You are already at the latest version Background: Endotracheal intubation is a painful and stressful procedure for neonates, often triggering adverse physiological responses. In 2010, the American Academy of Pediatrics (AAP) recommended premedication for elective intubation in neonates to reduce pain and stress and to increase the chances of success. In recent years, several drugs have emerged as a treatment option to improve comfort and safety of neonates undergoing endotracheal intubation.