Mechanically Ventilated Children Admitted to the Pediatric Intensive Care Unit
Conditions
Keywords
Sedation, pediatric intensive care unit, mechanically ventilated pediatric
Brief summary
evaluate the impact of sedation adequacy on clinical outcomes in mechanically ventilated children admitted to the pediatric intensive care unit (PICU).
Detailed description
evaluate the impact of sedation adequacy on clinical outcomes in mechanically ventilated children admitted to the pediatric intensive care unit (PICU). Sedation is fundamental in the Paediatric Intensive Care Unit (PICU) for mechanically ventilated children, seeking to improve their clinical outcome, enhance ventilator synchronisation, and promote tolerance of invasive procedures. Achieving appropriate sedation is hard, since both under-sedation and over-sedation are linked to negative outcomes, including extended mechanical breathing, heightened risk of ventilator-associated pneumonia
Interventions
no need
Sponsors
Study design
Eligibility
Inclusion criteria
* Children admitted to PICU requiring invasive mechanical ventilation (MV) ≥ 48 hours and received any form of sedation or analgesia during ventilation ≥ 48 hours.
Exclusion criteria
\- children ventilated after cardiac arrest
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Richmond Agitation-Sedation Scale (RASS) | 1 year | is a validated 10-point clinical tool used in PICUs to assess patient alertness, agitation, and sedation depth in \<20 seconds. In your sedation-outcome study, nurses score RASS every 4-8 hours to classify adequate sedation (target: RASS -2 to 0) vs. under-sedation (\>0) or over-sedation (≤-3) |
Countries
Egypt