Sedation and analgesia in patients on mechanical ventilation in pediatric intensive care units in Argentina
Sociedad Argentina de Pediatría..
INTRODUCTION: Children in pediatric intensive care units (PICUs) are exposed to experiencing pain, stress and anxiety due to their disease, treatment or care setting. Adequate sedation and analgesia are key to their care, particularly in patients requiring mechanical ventilation (MV).
OBJECTIVE: To determine the usual practice in sedation and analgesia management in patients requiring MV in PICUs in Argentina.
MATERIAL AND METHODS: Descriptive, crosssectional, multi-center study conducted by means of e-mailed surveys.
RESULTS: A total of 45 PICUs were surveyed, 18% (N= 8) of which follow a sedation and analgesia protocol strictly, while 58% (N= 26) follow an "implied" protocol based on routine practice. The most commonly used drugs were midazolam, for sedation, and fentanyl, for analgesia. In 31% (N= 14) of the PICUs, sedation was monitored through assessment scales (modified Ramsay and/or Comfort scales). In 4% (N= 2) of units, daily, scheduled interruptions of sedation was implemented. In patients who are difficult to sedate, dexmedetomidine was the most commonly used adjuvant. In 73% (N= 33) of the units, neuromuscular blocking agents were used in compliance with precise guidelines and under clinical monitoring. In 20% (N= 9) of the PICUs there was a sedation and analgesia weaning protocol in place, and morphine and lorazepam are the most commonly used drugs.
CONCLUSION: Only a low percentage of surveyed PICUs had a protocol in place for the routine management of sedation and analgesia in patients on MV.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2018 |
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| Erschienen: |
2018 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:116 |
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| Enthalten in: |
Archivos argentinos de pediatria - 116(2018), 2 vom: 01. Apr., Seite e196-e203 |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Sedación y analgesia en pacientes con asistencia ventilatoria mecánica en unidades de cuidados intensivos pediátricos de Argentina |
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| Beteiligte Personen: |
Taffarel, Pedro [VerfasserIn] |
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| Links: |
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| Themen: |
Analgesia |
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| Anmerkungen: |
Date Completed 29.08.2019 Date Revised 10.04.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.5546/aap.2018.eng.e196 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM282133445 |
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| 245 | 1 | 0 | |a Sedation and analgesia in patients on mechanical ventilation in pediatric intensive care units in Argentina |
| 246 | 3 | 3 | |a Sedación y analgesia en pacientes con asistencia ventilatoria mecánica en unidades de cuidados intensivos pediátricos de Argentina |
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| 500 | |a Date Completed 29.08.2019 | ||
| 500 | |a Date Revised 10.04.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Sociedad Argentina de Pediatría. | ||
| 520 | |a INTRODUCTION: Children in pediatric intensive care units (PICUs) are exposed to experiencing pain, stress and anxiety due to their disease, treatment or care setting. Adequate sedation and analgesia are key to their care, particularly in patients requiring mechanical ventilation (MV) | ||
| 520 | |a OBJECTIVE: To determine the usual practice in sedation and analgesia management in patients requiring MV in PICUs in Argentina | ||
| 520 | |a MATERIAL AND METHODS: Descriptive, crosssectional, multi-center study conducted by means of e-mailed surveys | ||
| 520 | |a RESULTS: A total of 45 PICUs were surveyed, 18% (N= 8) of which follow a sedation and analgesia protocol strictly, while 58% (N= 26) follow an "implied" protocol based on routine practice. The most commonly used drugs were midazolam, for sedation, and fentanyl, for analgesia. In 31% (N= 14) of the PICUs, sedation was monitored through assessment scales (modified Ramsay and/or Comfort scales). In 4% (N= 2) of units, daily, scheduled interruptions of sedation was implemented. In patients who are difficult to sedate, dexmedetomidine was the most commonly used adjuvant. In 73% (N= 33) of the units, neuromuscular blocking agents were used in compliance with precise guidelines and under clinical monitoring. In 20% (N= 9) of the PICUs there was a sedation and analgesia weaning protocol in place, and morphine and lorazepam are the most commonly used drugs | ||
| 520 | |a CONCLUSION: Only a low percentage of surveyed PICUs had a protocol in place for the routine management of sedation and analgesia in patients on MV | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Analgesia | |
| 650 | 4 | |a Mechanical ventilation | |
| 650 | 4 | |a Sedation | |
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| 700 | 1 | |a Jorro Barón, Facundo |e verfasserin |4 aut | |
| 700 | 1 | |a Meregalli, Claudia |e verfasserin |4 aut | |
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