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Sedation/Analgesia, PICU, Mechanically Ventilated Patient — Goals and Metrics — Clinical Pathway: ICU

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

 

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