CICU Pathway for Sedation/Analgesia in the Mechanically Ventilated Patient

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Start SBS and
Age Appropriate Pain Scale Assessment
Review Pain Scales

NEONATAL PROTOCOL
Age < 30 days
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INFANT/CHILD PROTOCOL
Age 30 days to 18 years, < 50 kg
ADULT PROTOCOL
Age > 18 years, > 50 kg
ECMO
All patients on ECMO
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Daily Sedation Interruption
(Begin if intubated > 2 days)
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Weaning Protocol
After Patient Extubated

Pain Scales

Review Pain Scales

FLACCTerm NB – 7 yrs
FACES≥ 3 yrs, able to self-report
Numeric Rating Scale> 5 years
SBS
Pediatric patients on mechanical ventilation
Response to stimuli, 6 point scale
Posted : January 2014
Authors : M. Naim, MD; E. Ramsey, Pharm D; L. Kohr RN, MSN, CPNP; P. King RN, BSN; A. Lisanti, RN, CNS;
R. Mansfield, MD; R. Kirsch, MD