Nair M N G, Jatana S K
Department of Pediatrics, Armed Forces Medical College, Pune, Maharashtra, India.
Indian J Pediatr. 2004 Feb;71(2):145-9. doi: 10.1007/BF02723097.
Provision of optimum comfort control to a critically ill child, in Pediatric Intensive Care Unit (PICU) requires a great degree of skill and planning and should be a prime concern for all practising paediatricians. Failure to provide adequate sedation and analgesia to control the stress response has been seen to be associated with increased complications and mortality. Sedation/analgesia in PICU is required both for, short term procedure and as an adjunct to pediatric intensive care. One has to identify the requirement whether sedation, analgesia or both. The ideal approach should be a sedative/hypnotic for sedation, an anxiolytic for anxiety, and an analgesic for pain. Threfore, it is essential, to provide the right drug for the problem at the right time in the right dosage. The drugs commonly used for sedation analgesia in PICU and their side effects have been described here.
在儿科重症监护病房（PICU）为危重病患儿提供最佳的舒适控制需要高度的技巧和规划，这应该是所有执业儿科医生的首要关注点。未能提供足够的镇静和镇痛来控制应激反应已被证明与并发症增加和死亡率上升有关。PICU中的镇静/镇痛既用于短期操作，也是儿科重症监护的辅助手段。必须确定是需要镇静、镇痛还是两者都需要。理想的方法应该是使用镇静剂/催眠剂进行镇静，使用抗焦虑药缓解焦虑，使用镇痛药止痛。因此，在正确的时间以正确的剂量为问题提供正确的药物至关重要。本文描述了PICU中常用于镇静镇痛的药物及其副作用。
