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Pediatric critical care
Guidelines
Key sources
The following summarized guidelines for the evaluation and management of pediatric critical care are prepared by our editorial team based on guidelines from the Society of Critical Care Medicine (SCCM 2022).
1
Diagnostic investigations
Assessment of pain: as per SCCM 2022 guidelines, consider obtaining routine pain assessment via self-report using the VAS, NRS, Oucher Scale, or Wong-Baker Faces pain scale in critically ill pediatric patients aged ≥ 6 years capable of communicating.
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Assessment of sedation
Assessment of delirium
Assessment of iatrogenic withdrawal syndrome
Medical management
Analgesia: as per SCCM 2022 guidelines, administer IV opioids as the primary analgesic for the treatment of moderate-to-severe pain in critically ill pediatric patients.
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Sedation
Neuromuscular blockade
Management of delirium
Management of iatrogenic withdrawal syndrome
Inpatient care
Optimization of inpatient care: as per SCCM 2022 guidelines, consider facilitating parental or caregiver presence in the pediatric ICU during routine care and interventional procedures in order to provide comfort to the patients, decrease parental levels of stress and anxiety, and increase level of satisfaction of care.
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