Pediatric sedation management

Sean Barnes, Myron Yaster, Sapna R. Kudchadkar

Research output: Contribution to journalArticlepeer-review

Abstract

On the basis of expert opinion/consensus, pediatric sedation management can be divided into procedural sedation and sedation in the pediatric intensive care unit. On the basis of some research evidence as well as consensus, procedural sedation is necessary to provide a safe and painless experience for infants or children undergoing diagnostic or therapeutic procedures. It is both effective and safe when performed by appropriately trained clinicians. (1)(2)(7) On the basis of some research evidence as well as consensus, clinicians should consider sedation as a continuum and must understand that the patient can go from a state of mild sedation to general anesthesia in seconds. Providing safe care is paramount and hinges on targeted assessments and thoughtful preparation. (1)(2)(7) On the basis of some research evidence as well as consensus, critically ill children in the pediatric intensive care unit (PICU) may need pharmacologically induced sedation to facilitate mechanical ventilation, invasive procedures, and treatment of multiorgan system dysfunction. Regardless of the methods used, the goals of sedation in the PICU are to provide anxiolysis and comfort while maintaining safety to prevent inadvertent removal of life-sustaining medical equipment. On the basis of some research evidence as well as consensus, unlike with procedural sedation, the long-term effects of pharmacologic agents administered in the PICU must be addressed, including potential toxicities, tolerance and physical dependence, sleep disturbances, and delirium. The process of weaning patients from these agents must be thoughtful and include a multidisciplinary approach. (8)(9)(10)(14).

Original languageEnglish (US)
Pages (from-to)203-212
Number of pages10
JournalPediatrics in review
Volume37
Issue number5
DOIs
StatePublished - May 2016

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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