الفهرس 
sedation and Analgesia Practice in Pediatric Intensive Care Units OF Cairo University Children Hospitals
ABSTRACTOnly 14 pages are availabe for public view
 |  | from | 126 |  |  |
| | | from | 126 | | |
Abstract
Background: Critically ill pediatric patients often experience complex medical procedures, mechanical ventilation, pain, separation from their families, invasive testing and monitoring which tend to be painful and anxiety-provoking, necessitating the provision of analgesia and sedation to reduce associated stress.
Aim: To analyze the current approaches in sedation, analgesia and withdrawal practices among pediatric intensive care units’ (PICUs) patients.
Patient and Methods: This is a descriptive prospective study reviewing 80 pediatric patients admitted to PICUs of Cairo university hospitals from July 2021 - January 2022, describing their sedation and analgesia practice, indication, duration, dose, effect and side effects.
Results: pneumonia (53.8%) was the common indication for admission with 49 patients needed mechanical ventilation showing the highest percentage (60%) among the indications of the sedation. Fentanyl used in (43.8%), 36% of patients needed combined medications, good sedation achieved in (67.5%), reduction of pain ranged from (44.44%) to (100%). The duration of PICU stay median (IQR) 9.5 days (5 – 17.5). Vomiting presented in (15 %). Hypotension, tachycardia and tachypnea were more common with combined sedo-analgesic drugs and the vital signs were found to be statistically significant indicator in assessing the efficacy of sedation and analgesia.
Conclusion: The use of adequate sedation and analgesia improve our patients’ vital signs, reduce pain, facilitates synchronization with mechanical ventilation and decreases the length of stay in post-operative patients. Side effects presented more with combined medications