J Pediatr Intensive Care 2015; 04(02): 064-072
DOI: 10.1055/s-0035-1556748
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Pain and Sedation Management in Mechanically Ventilated Children

Lauren Sorce
1   Department of Nursing, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, United States
,
Shari Simone
2   Women and Children's Service, University of Maryland Medical Center, University of Maryland School of Nursing Pediatric Acute Care, Baltimore, Maryland, United States
› Author Affiliations
Further Information

Publication History

18 November 2014

25 November 2014

Publication Date:
28 August 2015 (online)

Abstract

Assessing and managing pain and agitation in critically ill children can be challenging. Multiple factors contribute to the challenges of management, including prior medication exposure, surgical and procedural interventions, pharmacokinetics, and age-related pharmacodynamics making the population heterogeneous. Therefore, individualizing treatment approaches embedded with frequent assessments is likely to improve the management of pain and agitation in critically ill children. Novel approaches to manage pain and agitation continue to evolve and will require ongoing evaluation prior to widespread adoption.

 
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