Trends in sedation-analgesia practices in pediatric liver transplant patients admitted postoperatively to the pediatric intensive care unit: An analysis of data from the pediatric health information system (PHIS) database.
Matthew A GoldsteinAndrew JergelSaul J KarpenZhulin HeThomas M AustinMatt HallAkash DeepLaura E GilbertsonPradip P KamatPublished in: Pediatric transplantation (2023)
About 50% of patients who undergo liver transplant are placed on MV in the PICU postoperatively and receive a greater amount of benzodiazepines in comparison with those without MV. The overall utilization of dexmedetomidine and ketamine was more frequent, whereas the administration of benzodiazepines was less during the study period. Pediatric intensivists have a distinctive opportunity to collaborate with the liver transplant team to develop comprehensive guidelines for sedation and analgesia, aimed at enhancing the quality of care provided to these patients.
Keyphrases
- health information
- intensive care unit
- pain management
- healthcare
- end stage renal disease
- palliative care
- mechanical ventilation
- quality improvement
- newly diagnosed
- social media
- ejection fraction
- chronic kidney disease
- prognostic factors
- emergency department
- peritoneal dialysis
- clinical practice
- ultrasound guided
- machine learning
- acute respiratory distress syndrome
- chronic pain
- health insurance