PICU Analgesia Guidelines for Ventilated Patients


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Document information

Title:

PICU Analgesia Guidelines for Ventilated Patients

Purpose:

Analgesia guidelines for ventilated patients who are experiencing pain but not for
sedation.

Approval/ revision date:

January 1998

Keywords

document type:

guidelines

Intended audience:

healthcare professionals

Institution type:

children’s hospital, general hospital

Drug type:

opioids

Pain type:

procedural, surgical/trauma, treatment related

Delivery technique:

intravenous, subcutaneous

Nonpharmacological treatments:

Age:

adolescent

Disease type:

Submitter and institution information

Name:

Varsha Mehta PharmD

Title:

Clinical Associate Professor
Dept. of Pharmacy Services

Institution:

C.S. Mott Children's Hospital

Location:

Ann Arbor, Michigan, USA

Type of institution:

children's hospital

Number of beds:

approx 198

Supervising specialist availability:

Submitter's commentary:

The analgesia guidelines for ventilated patients in the PICU were developed with an intention to contain cost, encourage consistent prescribing and provide continuous and efficient pain relief to patients based on a pain scoring system. The FLACC scoring system was chosen due to the wide age range of patients amongst whom this protocol might be used realizing that the patient would also be sedated and may be paralyzed at the same time limiting the usefulness and reliability of the scores. Health providers are trained to evaluate the effectiveness of pain relief based on the “whole clinical picture” and not just pain scores.

Reviewer’s commentary:

Clarify FLACC scale
What is CVVH?
Proper drug names - eg benadryl, Reglan, Docusate

Reviewer:

Neil McIntosh BSc, MB, FRCP
Edward Clark Professor of Child Health
Child Life and Health
University of Edinburgh, UK

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