Guideline
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.
- Care and rehabilitation
- Communicating with families
- Delirium
- Early mobilisation
- Medical
- Nursing
- Pain management
- Physiotherapy
- Professional practice
- Sedation
- Sedation and analgesia
Summary
SCCM clinical practice guidelines covering seven domains in critically ill infants and children: pain, sedation/agitation, iatrogenic withdrawal, neuromuscular blockade, delirium, the PICU environment (family presence and sleep hygiene) and early mobility. Developed by a 29-member taskforce using systematic literature review, it issues 44 recommendations (14 strong, 30 conditional) and five good practice statements. Key themes are routine monitoring with validated tools, protocolised sedation and analgesia, and the role of non-pharmacological comfort measures. Directly applicable to all PICU disciplines.
Summary written for PICUlearn. Always read the original.
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Guidelines are shown for education. Follow your unit's own guidance and senior advice.