At a glance
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Sedation Management in Pediatric Patients With Acute Respiratory Failure
In Brief
A clinical study evaluating Team approach to sedation management and Usual approach to sedation management for Respiratory Insufficiency and 2 related conditions. Completed, enrolled 2,449 participants across 31 sites.
Detailed Summary
People with acute respiratory failure usually require the use of an artificial breathing machine, known as a mechanical ventilator. Sedative medications, which help keep people calm and reduce anxiety, are often prescribed for children who are on mechanical ventilators. However, the longer that sedative medications are used, the longer a child may need to remain on mechanical ventilation. This study will evaluate the effectiveness of a team approach to sedation management that aims to reduce the number of days that children with acute respiratory failure require mechanical ventilation.
Study Details
Timeline
Interventions
The team approach to sedation management includes the following: * Team education and consensus on the use of sedatives * Team identification of the patient's trajectory of illness and daily prescription of a sedation goal * A nurse-implemented goal-directed comfort algorithm that guides moment-to-moment titration of opioids and benzodiazepines * Team feedback on sedation management performance
The pediatric ICU will continue its usual approach to sedation management.