Sedation Practices in the PICU: An Unexpected Casualty of COVID-19
Pediatric intensivists often use an “analgosedation” approach in mechanically ventilated children. By prioritizing analgesia and minimizing sedation, patients experience less delirium. However, when COVID-19 surged, our pediatric intensive care unit providers were tasked with caring for adults with...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2022-06-01
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| Series: | Critical Care Explorations |
| Online Access: | http://journals.lww.com/10.1097/CCE.0000000000000713 |
| _version_ | 1811332022478569472 |
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| author | Katherine Pumphrey, MD Alisha Bouzaher, MD Barbara-Jo Achuff, MD Chani Traube, MD |
| author_facet | Katherine Pumphrey, MD Alisha Bouzaher, MD Barbara-Jo Achuff, MD Chani Traube, MD |
| author_sort | Katherine Pumphrey, MD |
| collection | DOAJ |
| description | Pediatric intensivists often use an “analgosedation” approach in mechanically ventilated children. By prioritizing analgesia and minimizing sedation, patients experience less delirium. However, when COVID-19 surged, our pediatric intensive care unit providers were tasked with caring for adults with severe acute hypoxemic respiratory failure (AHRF). As documented in the literature, adults with COVID-19-AHRF received significantly higher doses of sedatives than matched cohorts with non-COVID-19 AHRF. Surprisingly, when the pediatric intensive care unit returned to caring for children, a quality review showed that we were unintentionally using far more sedatives than that prior to COVID-19. This experience is not unique to our institution, or to COVID-19. Lingering effects of crisis care can persist beyond the event itself. We seek to share our experience in order to extend the conversation regarding the unexpected effects of crises on best practices and to stress the need for high-quality research on interventions to support mental health and resilience in frontline healthcare providers. |
| first_indexed | 2024-04-13T16:29:37Z |
| format | Article |
| id | doaj.art-5c662f31d2b2438e9cd15633fbd8c498 |
| institution | Directory Open Access Journal |
| issn | 2639-8028 |
| language | English |
| last_indexed | 2024-04-13T16:29:37Z |
| publishDate | 2022-06-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Critical Care Explorations |
| spelling | doaj.art-5c662f31d2b2438e9cd15633fbd8c4982022-12-22T02:39:37ZengWolters KluwerCritical Care Explorations2639-80282022-06-0146e071310.1097/CCE.0000000000000713202206000-00006Sedation Practices in the PICU: An Unexpected Casualty of COVID-19Katherine Pumphrey, MD0Alisha Bouzaher, MD1Barbara-Jo Achuff, MD2Chani Traube, MD31 Department of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, PA2 Department of Pediatrics, NY Presbyterian Hospital, Weill Cornell Medical College, New York, NY3 Department of Pediatrics, Cardiac Critical Care, Baylor College of Medicine, Texas Children’s Hospital, Houston, TX4 Department of Pediatrics, Critical Care Medicine, Weill Cornell Medical College, New York, NYPediatric intensivists often use an “analgosedation” approach in mechanically ventilated children. By prioritizing analgesia and minimizing sedation, patients experience less delirium. However, when COVID-19 surged, our pediatric intensive care unit providers were tasked with caring for adults with severe acute hypoxemic respiratory failure (AHRF). As documented in the literature, adults with COVID-19-AHRF received significantly higher doses of sedatives than matched cohorts with non-COVID-19 AHRF. Surprisingly, when the pediatric intensive care unit returned to caring for children, a quality review showed that we were unintentionally using far more sedatives than that prior to COVID-19. This experience is not unique to our institution, or to COVID-19. Lingering effects of crisis care can persist beyond the event itself. We seek to share our experience in order to extend the conversation regarding the unexpected effects of crises on best practices and to stress the need for high-quality research on interventions to support mental health and resilience in frontline healthcare providers.http://journals.lww.com/10.1097/CCE.0000000000000713 |
| spellingShingle | Katherine Pumphrey, MD Alisha Bouzaher, MD Barbara-Jo Achuff, MD Chani Traube, MD Sedation Practices in the PICU: An Unexpected Casualty of COVID-19 Critical Care Explorations |
| title | Sedation Practices in the PICU: An Unexpected Casualty of COVID-19 |
| title_full | Sedation Practices in the PICU: An Unexpected Casualty of COVID-19 |
| title_fullStr | Sedation Practices in the PICU: An Unexpected Casualty of COVID-19 |
| title_full_unstemmed | Sedation Practices in the PICU: An Unexpected Casualty of COVID-19 |
| title_short | Sedation Practices in the PICU: An Unexpected Casualty of COVID-19 |
| title_sort | sedation practices in the picu an unexpected casualty of covid 19 |
| url | http://journals.lww.com/10.1097/CCE.0000000000000713 |
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