Analgesia and sedation in critically ill pediatric patients: an update from the recent guidelines and point of view

被引:13
作者
Mondardini, Maria Cristina [1 ]
Sperotto, Francesca [2 ]
Daverio, Marco [3 ]
Amigoni, Angela [3 ]
机构
[1] IRCCS Univ Hosp Bologna, Policlin S Orsola, Dept Womans & Childs Hlth, Pediat Anesthesia & Intens Care Unit, Bologna, Italy
[2] Harvard Med Sch, Boston Childrens Hosp, Dept Cardiol, Cardiovasc Crit Care Unit, Boston, MA USA
[3] Univ Hosp Padua, Dept Womens & Childrens Hlth, Pediat Intens Care Unit, Padua, Italy
关键词
Analgesia; Sedation; Withdrawal; Delirium; Pediatric intensive care unit (PICU); Neonatal intensive care unit (NICU); INTENSIVE-CARE-UNIT; PROTOCOLIZED SEDATION; PROLONGED SEDATION; CORNELL ASSESSMENT; BRAIN-INJURY; DELIRIUM; CHILDREN; PAIN; DEXMEDETOMIDINE; SCALE;
D O I
10.1007/s00431-023-04905-5
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
In the last decades, the advancement of knowledge in analgesia and sedation for critically ill pediatric patients has been conspicuous and relevant. Many recommendations have changed to ensure patients' comfort during their intensive care unit (ICU) stay and prevent and treat sedation-related complications, as well as improve functional recovery and clinical outcomes. The key aspects of the analgosedation management in pediatrics have been recently reviewed in two consensus-based documents. However, there remains a lot to be researched and understood. With this narrative review and authors' point of view, we aimed to summarize the new insights presented in these two documents to facilitate their interpretation and application in clinical practice, as well as to outline research priorities in the field.Conclusion: With this narrative review and authors' point of view, we aimed to summarize the new insights presented in these two documents to facilitate their interpretation and application in clinical practice, as well as to outline research priorities in the field.
引用
收藏
页码:2013 / 2026
页数:14
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