Sedation and analgesia in the pediatric Intensive Care Unit following laryngotracheal reconstruction.
Deep levels of sedation and analgesia are needed in the majority of children who require prolonged tracheal intubation after laryngotracheal reconstruction (LTR). Drug doses may be determined most appropriately using validated scoring tools for sedation and analgesia; these scales continue to evolve and are used with increasing regularity in the pediatric intensive care unit (PICU). In this presentation, the validated scoring tools used to assess sedation and analgesia are reviewed, and specific agents used to manage sedation, analgesia, and neuromuscular blockade in the PICU after LTR are discussed.
Hammer
Gregory B
GB
Department of Anesthesia, Stanford University School of Medicine, Stanford, CA 94305, USA. ham@standford.edu
D000700:Analgesics / Q000627:therapeutic use*; D002648:Child; D003422:Critical Care; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use*; D007103:Immobilization; D015278:Intensive Care Units, Pediatric; D007830:Larynx / Q000601:surgery*; D011182:Postoperative Care; D014132:Trachea / Q000601:surgery*
D000700:Analgesics; D006993:Hypnotics and Sedatives