Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

2 results

  • Chapter 9 - Substance Misuse

  • Edited by Rachel Thomasson, Manchester Centre for Clinical Neurosciences, Elspeth Guthrie, Leeds Institute of Health Sciences, Allan House, Leeds Institute of Health Sciences
  • Book:
    Seminars in Consultation-Liaison Psychiatry
    Published online:
    04 January 2024
    Print publication:
    18 January 2024, pp 134-157

  • Summary

    substances other than alcohol (see Chapter 8). The purpose is to introduce the reader to the wide variety of substances that are abused by explaining why people may use them, why the use can be harmful and broadly how this is managed. Liaison psychiatry is the bridge between inpatient care and community care and this complex relationship is demonstrated herein when discussing the management of these cases that require the input of a variety of clinicians. The substances detailed are further subdivided to cover background information, acute intoxication, toxicity, withdrawal states and other management advice. ‘Top tips’ are included where appropriate, which are practical considerations to make based on day-to-day experience working in the field.

  • A survey of current practices in sedation, analgesia, withdrawal, and delirium management in paediatric cardiac ICUs

  • Kevin Valentine, Michael J. Cisco, Javier J. Lasa, Barbara-Jo Achuff, Sapna R. Kudchadkar, Sandra L. Staveski
  • Journal:
    Cardiology in the Young / Volume 33 / Issue 11 / November 2023
    Published online by Cambridge University Press:
    10 January 2023, pp. 2209-2214
    • Article
      • You have access
      • Open access
    • PDF
    • HTML
    • Export citation
  • Objective:

    To characterise the current approach to sedation, analgesia, iatrogenic withdrawal syndrome and delirium in paediatric cardiac ICUs.

    Design:

    A convenience sample survey of practitioners at institutions participating in the Pediatric Cardiac Critical Care Consortium conducted from September to December 2020.

    Setting:

    Paediatric cardiac ICUs.

    Measurements and main results:

    Survey responses were received from 33 of 42 institutions contacted. Screening for pain and agitation occurs commonly and frequently. A minority of responding centres (39%) have a written analgesia management protocol/guideline. A minority (42%) of centres have a written protocol for sedation. Screening for withdrawal occurs commonly, although triggers for withdrawal screening vary. Only 42% of respondents have written protocols for withdrawal management. Screening for delirium occurs “always” in 46% of responding centres, “sometimes” in 36% of centres and “never” 18%. Nine participating centres (27%) have written protocols for delirium management.

    Conclusions:

    Our survey identified that most responding paediatric cardiac ICUs lack a standardised approach to the management of analgesia, sedation, iatrogenic withdrawal, and delirium. Screening for pain and agitation occurs regularly, while screening for withdrawal occurs fairly frequently, and screening for delirium is notably less consistent. Only a minority of centres use written protocols or guidelines for the management of these problems. We believe that this represents an opportunity to significantly improve patient care within the paediatric cardiac ICU.