Table of contents

Pediatric critical care


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). ...
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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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More topics in this section

  • 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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More topics in this section

  • Sedation

  • Neuromuscular blockage

  • 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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