Implementation and evaluation of a paediatric nurse-driven sedation protocol in a paediatric intensive care unit.

ABSTRACT:

Background

Optimal sedation and analgesia is a challenge in paediatric intensive care units (PICU) because of difficulties in scoring systems and specific metabolism inducing tolerance and withdrawal. Excessive sedation is associated with prolonged mechanical ventilation and hospitalisation. Adult and paediatric data suggest that goal-directed sedation algorithms reduce the duration of mechanical ventilation. We implemented a nurse-driven sedation protocol in a PICU and evaluated its impact.

Methods

We conducted a before and after protocol implementation study in a population of children aged 0-18 years who required mechanical ventilation for at least 24 h between January 2013 and March 2015. After the protocol implementation in January 2014, nurses managed analgesia and sed

SUBMITTER: Dreyfus L 

PROVIDER: S-EPMC5366991 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature