Sedoanalgesia in paediatric intensive care: a survey of 19 Italian units

Acta Paediatrica
F BeniniP Cogo

Abstract

To analyse the methods used to manage and monitor sedoanalgesia at Italian paediatric intensive care units (ICUs). Data were collected by administering a questionnaire that aimed to investigate whether ICUs adopted a validated protocol to manage sedoanalgesia. The results revealed that a majority of the ICUs adopt a protocol for dealing with sedation and analgesia, but this protocol is implemented with difficulty or not at all in routine clinical practice. The most often used pharmacological combination, is midazolam and fentanyl. Several weaknesses remain in terms of the methods used to assess sedoanalgesia, which are generally not standardized, but rather based on recording the patient's physiological parameters. Sedation and analgesia are priority issues in the management of critically ill children. None of the numerous drugs available is ideal and the protocols currently used in clinical practice involve the combined use of different drugs. There is currently no shared and validated approach as to which is the most effective and safest sedoanalgesic regimen in critically ill children.

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Citations

Jun 20, 2013·Intensive Care Medicine·Nienke J VetMatthijs de Hoog
Dec 3, 2014·Clinics in Perinatology·Richard W Hall, Kanwaljeet J S Anand
Feb 22, 2012·Clinics in Perinatology·R Whit Hall
Jan 17, 2012·Medicina intensiva·S C AgudeloJ López-Herce
Jan 18, 2016·Journal of Critical Care·Paulo Sérgio Lucas da SilvaMarcelo Cunio Machado Fonseca
Jan 8, 2020·Pediatrics International : Official Journal of the Japan Pediatric Society·Taku Koizumi, Hiroshi Kurosawa
Jul 29, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Gonzalo Garcia GuerraUNKNOWN Sedation Withdrawal and Analgesia Team, and the Canadian Critical Care Trials Group

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