Show simple item record

dc.contributor.authorLong, Debbie
dc.contributor.authorHorn, Desley
dc.contributor.authorKeogh, Samantha
dc.date.accessioned2012-03-22
dc.date.accessioned2014-09-17T22:31:22Z
dc.date.accessioned2017-03-02T00:44:53Z
dc.date.available2017-03-02T00:44:53Z
dc.date.issued2005
dc.date.modified2014-09-17T22:31:22Z
dc.identifier.issn1036-7314
dc.identifier.doi10.1016/S1036-7314(05)80028-1
dc.identifier.urihttp://hdl.handle.net/10072/62943
dc.description.abstractIntroduction A retrospective analysis of sedation management for children receiving prolonged ventilation in one Australian paediatric intensive care unit (PICU) revealed no identifiable pattern in sedation management and an inadequacy in the sedation scoring system. Therefore, the investigators sought to explore the current practice of sedation in critically ill children in PICUs across Australia and New Zealand. Method This study used a mail-out survey to audit sedation management within the eight dedicated Australian and New Zealand PICUs. Results: 100% of the units surveyed replied (n=8). There were a total of 6,133 admissions to 8 Australian and New Zealand PICUs, where 3036 (49.5%) required ventilation. Of these children, 888 (29.2%) required ventilation ≥72 hours. Only 4 units had written guidelines for sedation management. A combined sedation regime of benzodiazepines and opioids was employed in six units. Administration and titration of sedation agents was managed by nursing staff alone in six units. All units indicated that they aimed to achieve a 'moderate level' of sedation. Two units used designated assessment tools for sedation and withdrawal assessment. One unit utilised Bispectral Index (BIS) monitoring. Conclusion There were similarities observed in the methods and types of sedation agents used within Australian and New Zealand PICUs. However, only half of the units had guidelines for sedation management, and most units did not use validated paediatric scales to assist staff in assessing patient sedation and pain levels. Therefore it is recommended that a standardised approach to sedation assessment and management of critically ill children requiring prolonged ventilation be developed and tested.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.publisherElsevier
dc.publisher.placeAmsterdam, The Netherlands
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom152
dc.relation.ispartofpageto157
dc.relation.ispartofissue4
dc.relation.ispartofjournalAustralian Critical Care
dc.relation.ispartofvolume18
dc.rights.retentionY
dc.subject.fieldofresearchClinical Nursing: Secondary (Acute Care)
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode111003
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1110
dc.titleA survey of sedation assessment and management in Australian and New Zealnd paediatric intensive care units requiring prolonged mechanical ventilation.
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codec1x
gro.facultyGriffith Health Faculty
gro.hasfulltextNo Full Text
gro.griffith.authorKeogh, Samantha J.
gro.griffith.authorLong, Debbie A.


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record