LO4 Advanced technical procedures and related drugs
A short summary in PICUlearn's own words. The original wording is in the publisher's document.
- LO4-KC1 Anaesthetic drugs, airway, vascular access and monitoring skills
- LO4-KC2 Prescribing including opioids in organ failure and dying patients
- LO4-1 Use of anaesthetic, sedative, analgesic and paralysing drugs
- LO4-2 Identifying need for airway intervention
- LO4-3 General anaesthesia for low-risk elective surgery
- LO4-4 Rapid sequence induction and failed intubation
- LO4-5 Perioperative care for low-risk emergency surgery
- LO4-6 Monitoring anaesthetic depth and neuromuscular blockade
- LO4-7 Regional anaesthesia principles and management
- LO4-8 Intubation with cervical spine protection
- LO4-9 Airway management in airway obstruction
- LO4-10 Unexpected difficult airway management
- LO4-11 Procedural sedation in stable patients
- LO4-12 Anaesthetic drugs and raised intracranial pressure
- LO4-13 Large-bore vascular access for fluid resuscitation
- LO4-14 Cardiac monitoring principles
- LO4-15 Completion of basic anaesthetic training certificate
68 practice questions on this
Join free to practise them.
Course modules
- Sedation and analgesiaPICU BasicsCourse module
- Central venous catheter insertionPICU ProceduresCourse module
- Monitoring: what the numbers meanPICU BasicsCourse module
- Tracheal intubation: the first intubatorPICU ProceduresCourse module
- Procedures you will see: lines, access and other proceduresPICU BasicsCourse module
- Emergency tracheostomy tube changePICU ProceduresCourse module
- Airway basics and the intubated childPICU BasicsCourse module
- Arterial line insertion and transducer set-upPICU ProceduresCourse module
- Intraosseous accessPICU ProceduresCourse module
- Peripheral cannulation, including ultrasound guidancePICU ProceduresCourse module
- Assisting with intubationPICU ProceduresCourse module
Courses
Videos
- Sedatives & Analgesics for Intubation by R. Pascucci | OPENPediatricsOPENPediatricsVideo
- How To: Ultrasound Guided Insertion Internal Jugular Catheter (Long) 3D VideoSonositeVideo
- Ultrasound Tips for Central Venous Catheter InsertionJason WilliamsVideo
- Airway ManagementICU AdvantageVideo
- How to do Zeroing of Arterial Line. Know arterial line Transducer| Critical Care besd sideEducationDr.Jyotsna and ICU talkVideo
- Monitoring Sedation by A. Calhoun | OPENPediatricsOPENPediatricsVideo
- How To: Zero An Arterial LineHuntington_ED_EduVideo
- Pediatric EZ-IO | How to Use Intraosseous Needles for Paramedics and Emergency NursesSCCAD Paramedic and EMT TrainingVideo
- Placement of an Intraosseous Line by M.Kleinman | OPENPediatricsOPENPediatricsVideo
- Paediatric Airway - ENK WorkshopGSAHEMSVideo
- Arrow® EZ-IO® Infant Child Needle Selection and Insertion Technique Animation VideovidacareVideo
- Emergency Procedures: Intraosseous Access - EZ-IOUNMC HEROESVideo
- Difficult airway / Paediatric intubation - AnaesthetistDr. Murali Chand Nallamothu - 2nd Youtube ChannelVideo
- Basic Airway Equipment for Intubation by T. Wolbrink | OPENPediatricsOPENPediatricsVideo
- Five Tips for Managing the Pediatric Difficult Airway with Jina Sinskey, MDInternational Anesthesia Research SocietyVideo
- Pediatric Emergency Tracheostomy CareNational Association of EMS Educators [NAEMSE]Video
- KeepMeSafe Workshop: Pain and Sedation in Paediatric critical careBSAPCHVideo
- Cardiac RESTORE:Protocolized Sedation and Weaning for Pediatrics by P.Lincoln, et al |OPENPediatricsOPENPediatricsVideo
- Procedural Sedation and Analgesia in Children by E. Fleegler | OPENPediatricsOPENPediatricsVideo
- Sedation in ICU Patients (Part 1) - ICU DripsICU AdvantageVideo
- Preparing to Intubate the Critically Ill ChildPaediatric EmergenciesVideo
- Intraosseous Insertion | Competency: PE 24.17 | PediatricsLearning PediatricsVideo
- Pediatric Airway EmergencieAnesthesia SDVideo
- Paediatric IO Needle InsertionDr Matthew SayersVideo
- POV Pediatric Central Line PlacementThe Gurney RoomVideo
- SCCMPod-572: Propofol in the ICU: Balancing Sedation and StabilitySCCMVideo
- Pediatric IntubationUniversity of Florida Emergency Medicine ResearchVideo
- Sedation Safety by D. Fagin | OPENPediatricsOPENPediatricsVideo
Guidelines and evidence
- Implementation of the American Society of Anesthesiologists 2022 paediatric guidelines in a child with mandibular metastasis.Anaesthesia Reports (case report applying ASA 2022 difficult airway guidelines), 2024Guideline or evidence
- Supporting clinical guidelines for opioid conversion to methadone and tapering to prevent withdrawal in critically ill children using physiology based pharmacokinetic modeling and simulation.PLoS One (Dutch Pediatric Formulary expert panel), 2026Guideline or evidence
- Experts' guidelines of intubation and extubation of the ICU patient of French Society of Anaesthesia and Intensive Care Medicine (SFAR) and French-speaking Intensive Care Society (SRLF) : In collaboration with the pediatric Association of French-speaking Anaesthetists and Intensivists (ADARPEF), French-speaking Group of Intensive Care and Paediatric emergencies (GFRUP) and Intensive Care physiotherapy society (SKR).SFAR/SRLF (with ADARPEF, GFRUP, SKR), 2019Guideline or evidence
- 2022 Society of Critical Care Medicine Clinical Practice Guidelines on Prevention and Management of Pain, Agitation, Neuromuscular Blockade, and Delirium in Critically Ill Pediatric Patients With Consideration of the ICU Environment and Early Mobility.Society of Critical Care Medicine (SCCM), 2022Guideline or evidence
- Adapting Evidence-Based Practice Guidelines for Sedation, Analgesia, Withdrawal, and Delirium Assessment and Management in Critically Ill Children.Critical Care Research and Practice (institutional guideline adaptation panel), 2026Guideline or evidence
- A systematic review of dexmedetomidine pharmacology in pediatric patients.Clinical and Translational Science, 2024Guideline or evidence
- All India Difficult Airway Association 2016 guidelines for the management of unanticipated difficult tracheal intubation in Paediatrics.All India Difficult Airway Association (AIDAA), 2016Guideline or evidence
- The management of unanticipated difficult airways in children of all age groups in anaesthetic practice - the position paper of an expert panel.Polish Society of Anaesthesiology and Intensive Care / Polish Neonatal Society, 2019Guideline or evidence
- Airway management in neonates and infants: European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines.European Society of Anaesthesiology and Intensive Care (ESAIC) / British Journal of Anaesthesia, 2024Guideline or evidence
- A comparison of the Airtraq®, McGrath®, and Macintosh laryngoscopes for difficult paediatric intubation: A manikin study.PLoS One, 2017Guideline or evidence
- All India Difficult Airway Association 2025 guidelines for the management of unanticipated difficult airway in paediatrics under general anaesthesia.All India Difficult Airway Association (AIDAA), 2025Guideline or evidence
- Comparison of Miller laryngoscope and UEScope videolaryngoscope for endotracheal intubation in four pediatric airway scenarios: a randomized, crossover simulation trial.European Journal of Pediatrics, 2019Guideline or evidence
- Adherence to Sedation Protocol Recommendations in Intubated ICU Patients.Pediatric Critical Care Medicine (SCCM/WFPICCS), 2026Guideline or evidence
- Recommendations for hemodynamic monitoring for critically ill children-expert consensus statement issued by the cardiovascular dynamics section of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC).ESPNIC, 2020Guideline or evidence
- A systematic review of clinical practice guidelines and recommendations for the management of pain, sedation, delirium and iatrogenic withdrawal syndrome in pediatric intensive care.Frontiers in Pediatrics, 2023Guideline or evidence
- Clinical recommendations for pain, sedation, withdrawal and delirium assessment in critically ill infants and children: an ESPNIC position statement for healthcare professionals.ESPNIC, 2016Guideline or evidence
- Is There Any Dose of Benzodiazepines Safe for Delirium in the PICU? A Secondary Analysis of the PICU Up! Pilot Trial Dataset.Critical Care Explorations (PICU Up! trial investigators), 2026Guideline or evidence
- Practice guidelines for sedation and analgesia management of critically ill children: a pilot study evaluating guideline impact and feasibility in the PICU.BMJ Open, 2015Guideline or evidence
- A randomized controlled trial of daily sedation interruption in critically ill children.Intensive Care Medicine, 2016Guideline or evidence
- Daily Sedation Interruption vs Continuous Sedation in Pediatric Patients Receiving Mechanical Ventilation: A Systematic Review and Meta-analysis.JAMA Network Open, 2024Guideline or evidence
- Evidence-based practical guideline for procedural pain management and sedation for burn pediatrics patients undergoing wound care procedures.Annals of Medicine and Surgery, 2022Guideline or evidence