PICU Clinical Pathway for Sedation/Analgesia
in the Mechanically Ventilated Patient

PICU Sedation/Analgesia in the Mechanically Ventilated Patient
Start SBS and Age Appropriate
Pain Scale Assessment
- Review Pain Scales
Expected Length of
Intubation < 48 hours
Expected Length of
Intubation ≥ 48 hours
Pain Scales
rFLACC 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
Ready for Extubation
Weaning Pathway
Posted: June 2014
Reviewed: February 2020
Authors: H. Wolfe, MD; M. Priestley, MD; A. Zuppa, MD; A. Himebauch, MD; L. Maxwell, MD; S. Warrington, PharmD;
J. Hewlett, PharmD; B. Kraus, MSN, RN; K. Lourie, RN; K. Roberts, MSN, RN