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
INFANT/CHILD PROTOCOL
Age 30 days to 18 years, < 50 kg
ADULT PROTOCOL
Age > 18 years, > 50 kg
ECMO
All patients on ECMO
Length of Sedation
If sedated
2-7 days
If sedated
> 7 days
(+/- intubation)

Pain Scales

Review 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
Posted: January 2014
Revised: November 2021
Authors: M. Naim, MD; A. Lisanti, RN, CNS; M. Cates, MSN; H. Collier, PharmD