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J Pediatr Intensive Care 2021; 10(01): 045-051
DOI: 10.1055/s-0040-1713438
Original Article

Diurnal Variation and Nursing Perspectives in Analgesic and Sedation Medication Administration to Mechanically Ventilated Children in a Single Pediatric ICU

Jeremy M. Loberger
1   Division of Pediatric Critical Care Medicine, Department of Pediatrics, The University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Nicholas Rockwell
1   Division of Pediatric Critical Care Medicine, Department of Pediatrics, The University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Laura Daniel
2   Department of Pharmacy, Children's Hospital of Alabama, Alabama, United States
,
Inmaculada B. Aban
3   Department of Biostatistics, School of Public Health, The University of Alabama at Birmingham, Birmingham, Alabama, United States
,
Priya Prabhakaran
1   Division of Pediatric Critical Care Medicine, Department of Pediatrics, The University of Alabama at Birmingham, Birmingham, Alabama, United States
› Author Affiliations Funding None.
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Abstract

The primary objective of this study was to determine whether there was diurnal variation in the amount of analgesic and sedation medication administered to mechanically ventilated children in a single pediatric intensive care unit (PICU). The secondary objective was to evaluate nursing attitudes and practices regarding administration of these medications. This was a prospective, longitudinal cohort study of mechanically ventilated patients admitted to a single PICU. There were 46 mechanical ventilation courses included (305 paired day–night shifts). There was no significant diurnal variation found in the amount of analgesics and sedatives administered to mechanically ventilated patients. However, the reasons for administration differed between day and night shifts.

Keywords

sedatives - analgesics - ventilation

Note

The research for this study was performed at the Children's of Alabama Pediatric Intensive Care Unit.


Supplementary Material



Publication History

Received: 30 March 2020

Accepted: 10 May 2020

Article published online:
29 July 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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