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Optimizing Sedation in the Pediatric ICU

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Pediatric Critical Care

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Abstract

Historically, in pediatric critical care, the patient’s ultimate survival has been our overriding priority. As mortality rates have decreased in the PICU over the last decades, we can now focus our efforts on minimizing the morbidities that may result from the experience of pediatric critical illness. Evidence indicates that it is time to restructure our traditional approach to sedation in critically ill children, in order to improve patient outcomes. In this chapter, we will review sedation practices that have been embraced in the past and contrast them to a more modern approach. Although still controversial, we will provide data supporting a minimalist approach to sedation in the majority of critically ill children.

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Notes

  1. 1.

    “Alex” is not an actual patient; he is an amalgam of several different patients that the authors have treated successfully with an analgosedation approach.

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Authors and Affiliations

  1. Medical College of Wisconsin, Wauwatosa, WI, USA

    Rita V. Alvarez

  2. Weill Cornell Medical College, New York, NY, USA

    Chani Traube

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  1. Rita V. Alvarez
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  2. Chani Traube
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Correspondence to Rita V. Alvarez .

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  1. Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA

    Christopher W. Mastropietro

  2. Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA

    Kevin M. Valentine

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Alvarez, R.V., Traube, C. (2019). Optimizing Sedation in the Pediatric ICU. In: Mastropietro, C., Valentine, K. (eds) Pediatric Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-96499-7_18

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