Current views of the Pediatric Intensive Care Unit

被引:1
作者
Fan, Conghai [1 ]
Qi, Boxiang [1 ]
Chen, Chao [1 ]
机构
[1] Xuzhou Childrens Hosp, Intens Care Unit, 18 Sudibei Rd, Xuzhou 221002, Jiangsu, Peoples R China
关键词
Child; Intensive care units; Pediatrics; Analgesia; CRITICALLY-ILL PATIENTS; SEDATION; CHILDREN; ANALGESIA; ADMISSION; PAIN;
D O I
10.23736/S0026-4946.17.04738-7
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
International best practice endorses the use of standardized approaches in the management of pediatric patients in the Pediatric Intensive Care Unit (PICU). There is increasing awareness of the risk of prolonged duration of mechanical ventilation as a consequence of morphine use leading to ventilator-associated pneumonia, extended PICU and hospital length of stay and increased morbidity and mortality. Accordingly, a fundamental outcome measure of this study was to determine whether raising awareness of these issues and the introduction of analgesia and sedation guidelines led to a reduction in the amount of analgesics and sedatives administered to PICU patients, while not exposing them to pain and distress. The present review article is devoted to discussing all important aspects of PICU.
引用
收藏
页码:539 / 543
页数:5
相关论文
共 32 条
  • [1] Amigoni A, 2012, MINERVA ANESTESIOL, V78, P322
  • [2] Opioid Analgesia in Mechanically Ventilated Children: Results From the Multicenter Measuring Opioid Tolerance Induced by Fentanyl Study
    Anand, Kanwaljeet J. S.
    Clark, Amy E.
    Willson, Douglas F.
    Berger, John
    Meert, Kathleen L.
    Zimmerman, Jerry J.
    Harrison, Rick
    Carcillo, Joseph A.
    Newth, Christopher J. L.
    Bisping, Stephanie
    Holubkov, Richard
    Dean, J. Michael
    Nicholson, Carol E.
    [J]. PEDIATRIC CRITICAL CARE MEDICINE, 2013, 14 (01) : 27 - 36
  • [3] Drug therapy - Analgesics for the treatment of pain in children
    Berde, CB
    Sethna, NF
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2002, 347 (14) : 1094 - 1103
  • [4] Children's factual and delusional memories of intensive care
    Colville, Gillian
    Kerry, Sally
    Pierce, Christine
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2008, 177 (09) : 976 - 982
  • [6] Davydow DS, 2010, ARCH PEDIAT ADOL MED, V164, P377, DOI 10.1001/archpediatrics.2010.10
  • [7] DESBOROUGH J, 2011, PEDIATR CRIT CARE ME, V12, DOI DOI 10.1186/1745-6215-12-218
  • [8] Devlin J, 2004, CRIT CARE MED, V32, pA259
  • [9] Effect of an analgo-sedation protocol for neurointensive patients: a two-phase interventional non-randomized pilot study
    Egerod, Ingrid
    Jensen, Malene Brorsen
    Herling, Suzanne Forsyth
    Welling, Karen-Lise
    [J]. CRITICAL CARE, 2010, 14 (02):
  • [10] Physical and biological triggers of ventilator-induced lung injury and its prevention
    Gattinoni, L
    Carlesso, E
    Cadringher, P
    Valenza, F
    Vagginelli, F
    Chiumello, D
    [J]. EUROPEAN RESPIRATORY JOURNAL, 2003, 22 : 15S - 25S