CICU Clinical Pathway for Sedation/Analgesia in the Mechanically Ventilated Patient
Start SBS and
Age Appropriate Pain Scale Assessment
Review Pain Scales
NEONATAL PROTOCOL
Age < 30 days
Age < 30 days
INFANT/CHILD PROTOCOL
Age 30 days to 18 years, < 50 kg
Age 30 days to 18 years, < 50 kg
ADULT PROTOCOL
Age > 18 years, > 50 kg
Age > 18 years, > 50 kg
ECMO
All patients on ECMO
All patients on ECMO
Length of Sedation
If sedated
2-7 days
2-7 days
If sedated
> 7 days
(+/- intubation)
> 7 days
(+/- intubation)
Pain Scales
FLACC | Term 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 |
Sedation Pathway Quick Links
Sedation:
Posted: January 2014
Revised: November 2021
Authors: M. Naim, MD; A. Lisanti, RN, CNS; M. Cates, MSN; H. Collier, PharmD
Revised: November 2021
Authors: M. Naim, MD; A. Lisanti, RN, CNS; M. Cates, MSN; H. Collier, PharmD
Evidence
- State Behavioral Scale (SBS) A Sedation Assessment Instrument for Infants and Young Children Supported on Mechanical Ventilation
- Daily Interruption of Sedative Infusions in Critically Ill Patients Undergoing Mechanical Ventilation
- Using a Bundle Approach to Improve Ventilator Care Processes and Reduce Ventilator-Associated Pneumonia