Title: Recommendations for an adequate sedation and analgesia in critical ill children and with COVID 19 in the PICU

Abstract:

Background:

In the Pediatric Critical Care Units (PICUs) the adequate management of sedation and analgesia becomes very important, because it is necessary to keep the child quiet and without pain. Evaluation of pain and sedation must be a common practice. It is essential to know the available drugs, the correct use of doses, their main adverse effects and interactions. It must be remembered that kids have a different idiosyncrasy as well the differentiated management that children require. A rutinary evaluation allows the intensivist, to avoid or diminish, delirium and withdrawal in order to ensure an adequate care. In patients with COVID 19 that require critical care is important to adequate the previous treatment strategies.

Objective: The objective of this paper was to develop practical an evidence base recommendation for the proper management of analgesia and sedation together in pediatric population in general and with COVID 19 that require admission in the PICU

Material and Methodology: we conducted an analysis and bibliographic research using Pubmed and Cochrane database. Using a combination of MeSH terms and keywords (COVID-19; pediatric population; sedation; analgesia; delirium; withdrawal; critical care; drugs interactions).

Conclusion: These recommendations may facilitate the adequate sedation and analgesia in the PICU in pediatric patients in general and with COVID 19

Biography:

Dr. Ma. Eugenia Teran fulfilled her degree at the University of Buenos Aires (UBA), is a specialist in pediatric critical care. Currently works in the PICU of Hospitall de Niños Ricardo Gutierrez in Buenos Aires, Argentina. Is a member of SATI (Argentinian Critical Care Society) and develops her research as a member of the Analgesia Sedation and Delirium committee into SATI and in SLACIP (Latin-American Society of Pediatric Critical Care)