Sedation/Analgesia, Mechanically Ventilated Patient Clinical Pathway — PICU
Sedation/Analgesia, Mechanically Ventilated Patient Clinical Pathway — PICU
Goals
To develop a standard PICU algorithm to manage sedation in mechanically ventilated patients resulting in:
- Decreased population exposure to benzodiazepines and opioids
- Decreased length of intubation and ICU delirium prevalence
- Improved interdisciplinary communication at all stages of sedation
Metrics
Increase
- % of intubated time at goal SBS
Decrease
- PICU LOS
- # of days intubated
- # sedation medications/day
- ICU delirium prevalence
- Length of sedation weans
Balancing Measure
- # of unplanned extubations
- Malpositioned devices (CVL, arterial line, chest tubes)
- Use of restraints or 1:1 observers