articlePediatric Critical Care MedicineFeb 1, 2022GREEN OA

2022 Society of Critical Care Medicine Clinical Practice Guidelines on Prevention and Management of Pain, Agitation, Neuromuscular Blockade, and Delirium in Critically Ill Pediatric Patients With Consideration of the ICU Environment and Early Mobility

HAHeidi A. B. SmithJBJames B. BesunderKAKristina A. BettersPNPeter N. JohnsonVSVijay Srinivasan

Monroe Carell Jr. Children's Hospital · Vanderbilt University Medical Center · +33 more institutions

PubMed
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Abstract

Objective

To develop comprehensive clinical practice guidelines for critically ill infants and children, with specific attention to seven domains of care including pain, sedation/agitation, iatrogenic withdrawal, neuromuscular blockade, delirium, PICU environment, and early mobility.

Design

The Society of Critical Care Medicine Pediatric Pain, Agitation, Neuromuscular Blockade, and Delirium in critically ill pediatric patients with consideration of the PICU Environment and Early Mobility Guideline Taskforce was comprised of 29 national experts who collaborated from 2009 to 2021 via teleconference and/or e-mail at least monthly for planning, literature review, and guideline development, revision, and approval. The full taskforce gathered annually in-person during the Society of Critical Care Medicine Congress for progress reports and further strategizing with the final face-to-face meeting occurring in February 2020. Throughout this process, the Society of Critical Care Medicine standard operating procedures Manual for Guidelines development was adhered to.

Citation impact

462
total citations
FWCI
63.28
Percentile
100%
References
369
Citations per year

Authors

29
  • HA
    Heidi A. B. SmithCorresponding

    Monroe Carell Jr. Children's Hospital, Vanderbilt University Medical Center

  • JB
    James B. Besunder

    Akron Children's Hospital, Northeast Ohio Medical University

  • KA
    Kristina A. Betters

    Monroe Carell Jr. Children's Hospital

  • PN
    Peter N. Johnson

    Oklahoma City University, University of Oklahoma Medical Center, University of Oklahoma

  • VS
    Vijay Srinivasan

    Children's Hospital of Philadelphia, University of Pennsylvania

Topics & keywords

Keywords
  • Delirium
  • Critically ill
  • Sedation
  • Clinical Practice
  • Psychological intervention
  • Critical illness
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