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Improve outcomes for children and infants with the ICU Liberation Campaign.
As many as three out of five children in the pediatric intensive care unit (PICU) develop delirium. Routine monitoring for delirium, pain, agitation, and withdrawal while instituting an interdisciplinary, multiprofessional model of care is vital to ensuring the best care and outcomes. The ICU Liberation Campaign is expanding to offer more resources for treating children and infants.
One of the pillars of these resources is the 2022 SCCM 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 (PANDEM).
The PANDEM guidelines for children and infants were published in the February 2022 issue of Pediatric Critical Care Medicine. Many of the concepts in the PANDEM guidelines reflect the goals of SCCM’s ICU Liberation Campaign, including adequately treating pain, thoughtfully determining sedation medications, assessing for and treating delirium, promoting early mobility, and engaging families in the care of their loved one.
The guidelines contain 44 recommendations based on the best available evidence, featuring management strategies such as enhanced use of protocolized sedation and analgesia in addition to nonpharmacologic interventions and family involvement strategies to make the patient as comfortable as possible and improve outcomes.
Heidi A.B. Smith, MD, MSCI, shares insight into the PANDEM guidelines for children and infants and how recommendations relate to the ICU Liberation Campaign.