title: Practice of analgesia and sedation in Italian Paediatric Intensive Care Units: did we progress?
abstract: BACKGROUND
  No strong recommendation was reported in management analgesia and sedation of critically ill children. The present study was performed to describe the current practice of analgesia and sedation in Pediatric Italian Intensive Care Units, in order to evaluate the adherence to last published pediatric guidelines.
  
  
  METHODS
  A questionnaire was sent to 24 Italian Paediatric Intensive Care Units during 2010.
  
  
  RESULTS
  One Hundred percent of contacted centers returned the filled form. All Pediatric Italian Intensive Care Units used the same combination (opioid plus benzodiazepine); 50% of centers referred to regularly monitor the level of sedation, but only 37% of them used validate tools. Withdrawal syndrome was regularly monitored in 25% of contacted Pediatric Italian Intensive Care Units; Finnegan scale was the only adopted scale.
  
  
  CONCLUSIONS
  National pediatric intensivists identified the same drug strategy to obtain analgesia and sedation in their patients, according to last published guidelines. Assessment of analgesia and sedation was more diffuse but not regularly performed and different methods were used. Withdrawal syndrome was monitored in a minority of contacted centres. Considering our data the practice of analgesia and sedation in Italian Pediatric Intensive Care Units is improved but not yet completely adherent to last international recommendations.
authors.affiliation: Department of Pediatrics, University of Padua, Padua, Italy. amigoni@pediatria.unipd.it
authors.forename: A
authors.initials: A
authors.lastname: Amigoni
authors.forename: I
authors.initials: I
authors.lastname: Catalano
authors.forename: E
authors.initials: E
authors.lastname: Vettore
authors.forename: L
authors.initials: L
authors.lastname: Brugnaro
authors.forename: A
authors.initials: A
authors.lastname: Pettenazzo
mesh_terms: D000293:Adolescent; D000698:Analgesia; D002648:Child; D002675:Child, Preschool; D016292:Procedural Sedation; D004338:Drug Combinations; D019983:Guideline Adherence; D017408:Guidelines as Topic; D006801:Humans; D015278:Intensive Care Units, Pediatric / Q000458:organization & administration* / Q000706:statistics & numerical data; D007558:Italy
chemical_list: D004338:Drug Combinations