Sedative Weaning and Discontinuation in Pediatric Critical Care: A Scoping Review
CCCF ePoster library. Caldwell D. Nov 7, 2018; 233380
Disclosure(s): Nothing to disclose
Deanna Caldwell
Deanna Caldwell
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Abstract
Rate & Comment (0)

Introduction: Discontinuing sedatives in children after critical illness is often challenging.

Objectives:  Our objective in this scoping review was to identify and characterize the published literature focusing on sedative weaning and discontinuation in pediatric critical care – to understand the current research landscape, identify research gaps, and inform future systematic reviews.

Methods: We searched MEDLINE (inception to November 2017), including all types of publications in English that focused on sedative weaning and discontinuation in critically ill children. Pairs of reviewers independently screened studies for eligibility and abstracted data.

Results: We included 154 publications from 14 countries published in 66 journals.  Sedative weaning or discontinuation was a major focus in 97 (63%) of the publications. The literature has grown from 1 publication in 1989 to 19 in 2017. 105 (68%) were original research, while 32% were reviews and editorials. There were 2 randomized trials that focused solely on sedative weaning and discontinuation. The publications clustered in 7 themes: strategies for sedative withdrawal management (64 [42%]), characterization of withdrawal symptoms (37 [24%]), topic overviews (29 [19%]), practice evaluation (12 [8%]), assessment tools (10 [6%]), patient or family impact (1 [1%]), and clinician attitudes (1 [1%]). Of the publications that specified author designation, 62 (54%) were from two or more professions, the remaining were authored by a single profession, most frequently physicians (34 [22%]).

Conclusions: The published body of literature on weaning and discontinuation of sedatives is diverse, increasing, and evolving. Researchers can use this scoping review to identify gaps in current literature and priorities for future research.

 


    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.


Save Settings