Neonatal Abstinence Syndrome Survey Questionnaire

We ask for your cooperation in completing this brief web-based survey by simply clicking on the correct responses and returning your answers to us by e-mail:

  1. Do you have a written protocol for the management of the neonatal abstinence syndrome (NAS) in your unit?
  2. Yes
  3. No
  1. Do you routinely send urine and/or meconium for toxicology screening before starting drug treatment even, if there are compatible signs of withdrawal and a positive history of substance abuse in mother?
  • Yes
  • No
  1. Do you use a scoring system to assess the severity of withdrawal symptoms?
  2. No
  3. Finnegan – original version
  4. Finnegan – modified version
  5. Lipsitz tool
  6. Zahorodny withdrawal inventor
  7. Rivers scoring system
  8. Green’s narcotic withdrawal index
  9. Others
  1. Do you use a scoring system to decide when to start treatment?
  • Yes
  • No
  • Other
  1. Do you use the scoring system to decide dosage alterations of the drug treatmentfor NAS signs?
  • Yes
  • No
  • Other
  1. Do you use the scoring system to decide when to terminate drug treatment for NAS signs?
  • Yes
  • No
  • Other
  1. What drug do you use as a first line of management for Opioid withdrawal?
  • Tincture of Opium
  • Oral Morphine sulfate solution
  • Phenobarbital
  • Methadone
  • Diazepam
  • Clonidine
  • Chlorpromazine
  • Chloral hydrate
  • Other
  1. What drug do you use as a second line of management or add for Opioid withdrawal?
  • Tincture of Opium
  • Oral Morphine sulfate solution
  • Phenobarbital
  • Methadone
  • Diazepam
  • Clonidine
  • Chlorpromazine
  • Chloral hydrate
  • Other
  1. What drug do you use as a first line of management for withdrawal from polydrug exposure in utero?
  • Tincture of Opium
  • Oral Morphine sulfate solution
  • Phenobarbital
  • Methadone
  • Diazepam
  • Clonidine
  • Chlorpromazine
  • Chloral hydrate
  • Other
  1. What drug do you use as a second line of management or add for withdrawal from polydrug exposure in utero?
  • Tincture of Opium
  • Oral Morphine sulfate solution
  • Phenobarbital
  • Methadone
  • Diazepam
  • Clonidine
  • Chlorpromazine
  • Chloral hydrate
  • Other
  1. What drug do you use to control withdrawal seizures in a neonate with Opioid withdrawal?
  • Tincture of Opium
  • Morphine (IV)
  • Morphine (PO)
  • Phenobarbital (IV)
  • Phenobarbital (PO)
  • Methadone
  • Diazepam
  • Lorazepam
  • Midazolam
  • Other
  1. What drug do you use to control withdrawal seizure in a neonate with polydrug withdrawal?
  • Tincture of Opium
  • Morphine (IV)
  • Morphine (PO)
  • Phenobarbital (IV)
  • Phenobarbital (PO)
  • Methadone
  • Diazepam
  • Lorazepam
  • Midazolam
  • Other
  1. If you use Phenobarbital to treat withdrawal symptoms, do you routinely start with a loading doses even in absence of seizure?
  • Yes
  • No
  • Other

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