scholarly journals Potential Neurodevelopmental Effects of Pediatric Intensive Care Sedation and Analgesia

2020 ◽  
Vol 2 (4) ◽  
pp. e0105
Author(s):  
Alia Marie Iqbal O’Meara ◽  
Nikki Miller Ferguson ◽  
Sidney E. Zven ◽  
Oliver L. Karam ◽  
Logan C. Meyer ◽  
...  
Keyword(s):  
Intensive Care ◽  
Pediatric Intensive Care ◽  
Intensive Care Sedation ◽  
Sedation And Analgesia ◽  
Neurodevelopmental Effects

scholarly journals “CON: TIVA versus Inhalational Agents for Pediatric Cardiac Intensive Care”.

2021 ◽  
Author(s):  
Ramesh Chand Kashav ◽  
Jasvinder Kaur Kohli ◽  
Rohan Magoon ◽  
Keyword(s):  
Intensive Care ◽  
Patient Management ◽  
Pediatric Intensive Care ◽  
Total Intravenous Anesthesia ◽  
Intravenous Anesthesia ◽  
Advantages And Disadvantages ◽  
Adequate Sedation ◽  
Sedation And Analgesia ◽  
Cardiac Intensive Care ◽  
Volatile Agents

AbstractThe field of pediatric intensive care has come a long way, especially with the recognition that adequate sedation and analgesia form an imperative cornerstone of patient management. With various drugs available for the same, the debate continues as to which is the better: total intravenous anesthesia (TIVA) or inhalational agents. While each have their own advantages and disadvantages, in the present era of balance toward the IV agents, we should not forget the edge our volatile agents (VAs) might have in special scenarios. And ultimately as anesthesiologists, let us not forget that be it knob and dial, or syringe and plunger, our aim is to put pain to sleep and awaken a new faith to breathe.

Out-patient Therapy of Iatrogenic Opioid Dependency following Prolonged Sedation in the Pediatric Intensive Care Unit

1996 ◽  
Vol 11 (5) ◽  
pp. 284-287 ◽  
Author(s):  
Joseph D. Tobias
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Opioid Withdrawal ◽  
Opioid Dependency ◽  
Oral Methadone ◽  
Prolonged Sedation ◽  
Sedation And Analgesia ◽  
Patient Use

As a result of heightened awareness of the need for aggressive sedation and analgesia in the pediatric intensive care unit population, the risk for opioid withdrawal continues to increase. Although gradual tapering of the intravenous dose of opioid can be used to prevent such problems, this approach mandates maintenance of intravenous access and in-patient hospital admission. I present experience with the out-patient use of oral methadone to prevent opioid withdrawal following prolonged fentanyl sedation in the pediatric intensive care unit. A cohort of 18 patients is reviewed, and suggested guidelines for out-patient management of these patients using oral methadone are presented.

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