sedation in MV

[jammaltaleb]

hello all
Do you use sedation during MV(SIMV,A/C) routeinlly.
I mean if baby not agitated for example.
If yes wich sedation do you use.
Thank.

[jammaltaleb]

sorry i mean during A/C only.thanks

[Stefan Johansson]

My answer is... no (if the infant is not agitated)

[Dukstar]

Yes, we use it when the a baby is agitated or has a high pain level score, and depending on the pathology (post-operative, NEC,...) but only when mechanical ventilation is prolonged.

[selvanr4]

we use midazolam in a dose of 0.1 mg/kg sos ,when the baby fights . we do not use paralytics . Is it so for others?

[Dukstar]

Morphinics & hypnotics (midazolam mostly). No curares.

[KBOUDHARHCA]

NO. If the infant is agitated, MIDAZOLAM LOWER DOSE

[vijayashankara]

routinely we use morphine for all ventilated babies and if baby fights the ventilator add midazolam. Paralytics are used only during the intubation and initiation of ventilation. always use good doses, not halfway doses

[jacques-attack]

Hello everybody. We do not use sedation as a routine. If the baby is agitated or fights, we use fentanil and add midazolam, and only sometimes curaro when baby's fights is "too strong" and it becomes dangerous

[rehman_naveed]

We use morphine for babies needing ventilation as it is painful to intubate the baby and if still baby is agitated, we add midazolam. We do not use paralytic agents.
If baby is not agitated, and not fighting the ventilator , or not having spontaneuous breaths, other causes needs to look for.