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Chapter-64 Sedation in PICU

BOOK TITLE: IAP Textbook of Pediatric ICU Protocols

Author
1. Khilnani Praveen
2. Kaur Jyotinder
ISBN
9789350903704
DOI
10.5005/jp/books/11878_64
Edition
2/e
Publishing Year
2013
Pages
4
Author Affiliations
1. Max Hospitals, Press Enclave, Saket, New Delhi, India, Rainbow Children’s Hospital, New Delhi, India, Madhukar Rainbow Children’s Hospital, New Delhi, India, Pediatric Intensivist, IP Apollo Hospital, New Delhi B-42, Panchsheel Enclave, New Delhi 110017, BLK Superspeciality Hospital, New Delhi, India; PICU Mediclinic City Hospital, Dubai, UAE, for IAP and ISCCM; BLK Super Speciality Hospital, New Delhi, India, BLK Super Speciality Hospital, New Delhi, India, Max and BLK Hospitals, New Delhi, India, BLK Superspeciality Hospital, New Delhi, BLK Superspeciality Hospital, New Delhi, India, Max Hospital, New Delhi, MAX Superspeciality Hospital, New Delhi, Apollo Centre for Advanced Pediatrics, Indraprastha Apollo Hospital, New Delhi, e-mail: praveenk@nde.vsnl.net.in, Apollo Hospital, New Delhi, Max Hospitals, New Delhi, India, Pediatric Pulmonology and Critical Care, Max Healthcare Hospitals, Saket, New Delhi and Gurgaon (Haryana)
2. Apollo Hospital, Ahmedabad, Gujarat, Apollo Hospitals, Ahmedabad, Gujarat, India, Apollo Hospital, Ahmedabad, Gujarat, India
Chapter keywords
Sedation, Airway reflexes, Analgesia, Amnesia, Nil by mouth status, Aspiration, Sedation note

Abstract

The chapter discusses about various levels of sedations, their goals, procedures, equipments used and risk factors. Some of the levels of sedation include conscious sedation, deep sedation/analgesia, and anesthesia. The main goal of sedation is to attenuate the fear and anxiety, to potentiate analgesia, and to reduce unnecessary recall (amnesia). In order to decrease the possibility of aspiration if airway reflexes are lost, proper nil by mouth (NBM) status must be assured before an elective sedation. The doctors responsible for administration of moderate and deep sedation to children should be trained in pediatric intensive care/anesthesia and he/she should be able in handling the equipments used for sedation. The chapter also explains about the monitoring and care required for the child after sedation and documentations that are related to sedation.

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