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
  • [11] Khemani RG., 2007, PEDIAT CRIT CARE M S, V8, pA39, DOI DOI 10.1001/JAMA.293.4.470
  • [12] Ethical concerns in the management of pain in the neonate
    Mancuso, Thomas
    Burns, Jeffrey
    [J]. PEDIATRIC ANESTHESIA, 2009, 19 (10) : 953 - 957
  • [13] McCaffery M., 1968, Nursing Practice Theories Related to Cognition, Bodily Pain, and Manenviornment Interactions
  • [14] Use of anesthetic agents in neonates and young children
    Mellon, R. Daniel
    Simone, Arthur F.
    Rappaport, Bob A.
    [J]. ANESTHESIA AND ANALGESIA, 2007, 104 (03) : 509 - 520
  • [15] AGE-RELATED DIFFERENCES IN THE USE OF MORPHINE, DIAZEPAM, AND PANCURONIUM FOR MECHANICALLY VENTILATED CHILDREN
    MICKELL, JJ
    PEDIGO, SA
    LUCKING, SE
    ALBERT, MA
    [J]. DEVELOPMENTAL PHARMACOLOGY AND THERAPEUTICS, 1990, 14 (01): : 20 - 28
  • [16] Polyneuropathy in critically ill patients: A seldom recognized cause of dependence on mechanical ventilators
    Miranda, M
    Arroyo, HA
    Ledesma, D
    Sasbon, J
    Medina, C
    Fejerman, N
    [J]. REVISTA DE NEUROLOGIA, 2001, 32 (09) : 838 - 843
  • [17] Mycek M.J., 2000, LIPPINCOTTS ILLUSTRA, V2nd
  • [18] Mortality in very long-stay pediatric intensive care unit patients and incidence of withdrawal of treatment
    Naghib, Sara
    van der Starre, Cynthia
    Gischler, Saskia J.
    Joosten, Koen F. M.
    Tibboel, Dick
    [J]. INTENSIVE CARE MEDICINE, 2010, 36 (01) : 131 - 136
  • [19] Sedation Analgesia in Pediatric Intensive Care
    Nair M.N.G.
    Jatana S.K.
    [J]. The Indian Journal of Pediatrics, 2004, 71 (2) : 145 - 149
  • [20] Weaning and extubation readiness in pediatric patients
    Newth, Christopher J. L.
    Venkataraman, Shekhar
    Willson, Douglas F.
    Meert, Kathleen L.
    Harrison, Rick
    Dean, J. Michael
    Dean, Michael
    Pollack, Murray
    Zimmerman, Jerry
    Anand, KanwaIjeet J. S.
    Carcillo, Joseph A.
    Nicholson, Carol E.
    [J]. PEDIATRIC CRITICAL CARE MEDICINE, 2009, 10 (01) : 1 - 11