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Pediatric critical care

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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).
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Guidelines

1.Diagnostic investigations

Assessment of pain: 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

2.Medical management

Analgesia: administer IV opioids as the primary analgesic for the treatment of moderate-to-severe pain in critically ill pediatric patients.
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More topics in this section

  • Sedation

  • Neuromuscular blockage

  • Management of delirium

  • Management of iatrogenic withdrawal syndrome

3.Inpatient care

Optimization of inpatient care: 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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