Managing sedation withdrawal in children who undergo prolonged PICU admission after discharge to the ward.
Children who undergo a prolonged stay within the intensive care unit require adequate sedation and analgesia. During the recovery phase there will need to be a period of sedation withdrawal to prevent occurrence of an abstinence syndrome. We present a strategy developed within our hospital for managing this process which uses the resource of the Pain Service, along with guidelines to help prevent the development of withdrawal, and a plan for managing any signs of abstinence which occur.
Cunliffe
M
M
Clinical Nurse Specialist in Pain, Royal Liverpool Children's Hospital - Alder Hey, Eaton Road, Liverpool, UK. mary@cunliffe7714.freeserve.co.uk
McArthur
L
L
Dooley
F
F
D000700:Analgesics / Q000009:adverse effects / Q000627:therapeutic use; D002648:Child; D002697:Chloral Hydrate / Q000008:administration & dosage / Q000009:adverse effects; D002985:Clinical Protocols; D003422:Critical Care; D005500:Follow-Up Studies; D006757:Hospital Units; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage* / Q000009:adverse effects; D007223:Infant; D007902:Length of Stay; D008297:Male; D008874:Midazolam / Q000008:administration & dosage / Q000009:adverse effects; D018710:Pain Clinics; D010347:Patient Care Planning; D010360:Patient Transfer; D013375:Substance Withdrawal Syndrome / Q000517:prevention & control*; D013997:Time Factors; D014956:Writing
D000700:Analgesics; D006993:Hypnotics and Sedatives; D002697:Chloral Hydrate; D008874:Midazolam