The interplay of pain, discomfort, and fear can cause agitation in critically ill children. Therefore, sedation and analgesia are essential components in the intensive care unit setting and are best managed with a multidisciplinary team approach. No one standard approach exists to assess and manage pain and anxiety. Many tools are available for the assessment of pain and sedation, but each tool has its advantages and disadvantages. Clinicians should consider adopting a validated tool for routine continuous assessment. Multiple pharmacological therapies are available to manage pain, anxiety, fear, and agitation. Dosing of these agents can be influenced by age-related pharmacokinetic and pharmacodynamic changes. Agents should be selected on the basis of the child's disease state, desired level of sedation, and cardiac and respiratory status.

Peter N. Johnson

Jamie L. Miller

Tracy M. Hagemann

AACN Advanced Critical Care

AACN Advanced Critical Care is a quarterly, peer-reviewed publication of in-depth articles intended for experienced critical care and acute care clinicians at the bedside, advanced practice nurses, and clinical and academic educators. Each issue includes a topic-based symposium, feature articles, and columns of interest to critical care and progressive care clinicians. AACN Advanced Critical Care contains concisely written, practical information for immediate use and future reference. Continuing education units are available for selected articles in each issue.     AACN Advanced Critical Care is an official publication of the American Association of Critical-Care Nurses.

AACN Advanced Critical Care is a quarterly, peer-reviewed journal designed for experienced critical care and acute care clinicians at the bedside, advanced practice nurses, and clinical and academic educators. Each issue features a topic-based symposium, feature articles, and columns of interest to critical care and progressive care clinicians. The journal provides concise, practical information for immediate use and future reference. Continuing education units are available for selected articles in each issue. AACN Advanced Critical Care is an official publication of the American Association of Critical-Care Nurses.

《AACN Advanced Critical Care》是一本季度出版的同行评审期刊，专为在床边工作的经验丰富的重症监护和急救临床医生、高级实践护士以及临床和学术教育者而设。每期包含一个主题研讨会、特色文章以及与重症监护和渐进护理临床医生相关的专栏。期刊提供简明实用的信息，便于立即使用和未来参考。每期的部分文章还提供继续教育学分。该期刊是美国重症护理护士协会的官方出版物。

Sedation and Analgesia in Critically Ill Children

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Journal Info

Category	Quartile
NURSING	2