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Compared with traditional opioids, remifentanil is suitable for short procedural analgesia rather than for ongoing analgesic needs, particularly during brief, intensely noxious procedures requiring rapid onset and offset with early recovery of spontaneous breathing, such as endotracheal intubation-surfactant-extubation (INSURE) or less-invasive surfactant administration (LISA) procedures, as well as brief invasive interventions (Tables 1, 2) (Figures 2, 3) (110115, 117119)

Record injury type, pain level (scale 1 to 10), mobility limits, and strength deficits before any intervention

Sodium chloride 0.9% (normal saline) contains sterile water and sodium chloride (salt) to create an isotonic solution

Firmer skin means fewer fine lines and a naturally youthful bounce