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Archivos de Pediatría del Uruguay

Print version ISSN 0004-0584On-line version ISSN 1688-1249

Abstract

TELECHEA, Héctor et al. Assessing the use of sedation and analgesia on children under mechanical ventilation. Arch. Pediatr. Urug. [online]. 2019, vol.90, n.1, pp.6-11. ISSN 0004-0584.  http://dx.doi.org/10.31134/ap.90.1.2.

Objective:

to quantify benzodiazepines and opioids dosages used in critically ill children under invasive mechanical ventilation (IMV) hospitalized in a Paediatric Intensive Care Unit (PICU).

Methodology:

an observational study was carried out from May to September 2017. It included children who under IMV hospitalized in a PICU and who were treated with benzodiazepines, opioids and/or neuromuscular blockers. These children key clinical features were recorded. Cumulative doses of benzodiazepines, opioids and neuromuscular blockers were recorded. Results were compared with the data obtained in a previous experience in the same PICU in 2012.

Results:

37 children were included. IMV average duration of was 3.7 days. Cumulative doses and treatment duration of midazolam, fentanyl and atracurium decreased from 2012 to 2017. There were differences between the doses prescribed and the doses actually received in both periods.

Conclusion:

cumulative doses of benzodiazepines, opioids and neuromuscular blockers decreased in the 2012-2017 period.

Keywords : Analgesia; Substance withdrawal syndrome; Artificial respiration; Paediatric intensive care units.

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