Skip to main content
SpringerLink
Log in
Book cover

Analgésie et sédation en réanimation pp 225–242Cite as

Sédation-analgésie en réanimation pédiatrique

  • Chapter

  • 531 Accesses

Part of the book series: Le point sur ... ((POINT))

Resume

Même si la sédation-analgésie est un élément majeur de la prise en charge de l’enfant en réanimation, de nombreux travaux sont encore nécessaires pour affiner les connaissances tant cliniques que pharmacologiques dans ce domaine. Dans l’état actuel de la littérature, la plupart des molécules couramment employées en réanimation de l’adulte ou en anesthésie-réanimation pédiatrique peuvent être préconisées pour la réalisation d’une sédation de l’enfant en réanimation, à l’exception notable du propofol. L’adéquation du degré de sédation et d’analgésie nécessite de se doter d’outils d’évaluation adaptés à l’âge et à la pathologie de l’enfant.

This is a preview of subscription content, log in via an institution.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Références

  1. Playfor S, Jenkins I, Boyles C et al. (2006) Consensus guidelines on sedation and analgesia in critically ill children. Intensive Care Med 32: 1125–36

    Article  CAS  PubMed  Google Scholar 

  2. Nolent P, Laudenbach V (2008) Sédation et analgésie en réanimation — Aspects pédiatriques. Ann Fr Anesth Réanim 27: 623–32

    CAS  PubMed  Google Scholar 

  3. Fitzgerald, M, Millard C, and McIntosh N (1989) Cutaneous hypersensitivity following peripheral tissue damage in newborn infants and its reversal with topical anaesthesia. Pain, 39: 31–6

    Article  CAS  PubMed  Google Scholar 

  4. von Baeyer CL, Marche TA, Rocha EM, Salmon K (2004) Children’s memory for pain: overview and implications for practice. J Pain 5: 241–9

    Article  Google Scholar 

  5. Melnyk BM, Alpert-Gillis L, Feinstein NF et al. (2004) Creating opportunities for parent empowerment: program effects on the mental health/coping outcomes of critically ill young children and their mothers. Pediatrics 113: e597–607

    Article  PubMed  Google Scholar 

  6. Barr RG, Young SN, Wright JH et al. (1995) «Sucrose analgesia» and diphtheria-tetanuspertussis immunizations at 2 and 4 months. J Dev Behav Pediatr 16:220–5

    Article  CAS  PubMed  Google Scholar 

  7. Golianu B, Krane E, Seybold J et al. (2007) Non-pharmacological techniques for pain management in neonates. Semin Perinatol 31: 318–22

    Article  PubMed  Google Scholar 

  8. Dalens B, Veyckemans F (2006) Pharmacologie. In Anesthésie pédiatrique. Dalens B, Veyckemans F, Eds Sauramps Médical, Montpellier 93–144

    Google Scholar 

  9. de Wildt SN, de Hoog M, Vinks AA et al. (2005) Pharmacodynamics of midazolam in pediatric intensive care patients. Ther Drug Monit 27: 98–102

    Article  PubMed  Google Scholar 

  10. de Wildt SN, de Hoog M, Vinks AA et al. (2003) Population pharmacokinetics and metabolism of midazolam in pediatric intensive care patients. Crit Care Med 31: 1952–8

    Article  PubMed  Google Scholar 

  11. Hartwig S, Roth B et al. (1991) Clinical experience with continuous intravenous sedation using midazolam and fentanyl in the paediatric intensive care unit. Eur J Pediatr 150: 784–8

    Article  CAS  PubMed  Google Scholar 

  12. Adelson PD, Bratton SL, Carney NA et al. (2003) Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. Chapter 13. The use of barbiturates in the control of intracranial hypertension in severe pediatric traumatic brain injury. Pediatr Crit Care Med 4: S49–52

    Article  PubMed  Google Scholar 

  13. Prise en charge en situation d’urgence et en réanimation des états de mal épileptique de l’adulte et de l’enfant (nouveau-né exclu) (2009) Recommandations formalisées d’experts sous l’égide de la Société de réanimation de langue française. Réanimation 18: 4–12

    Google Scholar 

  14. White MC, Karsli C (2007) Long-term use of an intravenous ketamine infusion in a child with significant burns. Paediatr Anaesth 17: 1102–4

    PubMed  Google Scholar 

  15. Green SM, Denmark TK, Cline J et al. (2001) Ketamine sedation for pediatric critical care procedures. Pediatr Emerg Care 17: 244–8

    Article  CAS  PubMed  Google Scholar 

  16. Bar-Joseph G, Guilburd Y, Tamir A, Guilburd JN. (2009) Effectiveness of ketamine in decreasing intracranial pressure in children with intracranial hypertension. J Neurosurg Pediatr 4: 40–6

    Article  PubMed  Google Scholar 

  17. Schmidt A, Øye I, Akeson J (2008) Racemic, S(+)-and R(-)-ketamine do not increase elevated intracranial pressure. Acta Anaesthesiol Scand Sep; 52(8): 1124–30

    Article  CAS  Google Scholar 

  18. Richebe P, Rivat C, Rivalan B et al. (2005) Kétamine à faibles doses: antihyperalgésique, non analgésique. Ann Fr Anesth Réanim 24: 1349–59

    CAS  PubMed  Google Scholar 

  19. Wolf A, Weir P, Segar P et al. (2001) Impaired fatty acid oxidation in propofol infusion syndrome. Lancet 357: 606–7

    Article  CAS  PubMed  Google Scholar 

  20. Cremer OL, Moons KG, Bouman EA et al. (2001) Long-term propofol infusion and cardiac failure in adult head-injured patients. Lancet 357: 117–8

    Article  CAS  PubMed  Google Scholar 

  21. Michel F, Lando A, Aubry C et al. (2008) Experience with remifentanil—sevoflurane balanced anesthesia for abdominal surgery in neonates and children less than 2 years. Pediatric Anaesthesia 18: 532–8

    Article  Google Scholar 

  22. Turner HN (2005) Complex pain consultations in the pediatric intensive care unit. AACN Clin Issues 16: 388–95

    Article  PubMed  Google Scholar 

  23. Floret G, Gay CL (2005) Iatrogenic illness in pediatric intensive care. Réanimation 14: 442–5

    Article  Google Scholar 

  24. Société française d’anesthésie-réanimation, Société de réanimation de langue française, Groupemement francophone de réanimation et d’urgence pédiatrique, Association des anesthésistes-réanimateurs d’expression française, Société française de médecine d’urgence (2008) sédation-analgésie en réanimation (nouveau-né exclu). Annales françaises d’anesthésie et de réanimation. Ann Fr Anesth Réanim 27: 541–51

    Google Scholar 

  25. Martin LD, Bratton SL, Quint P, Mayock DE (2001) Prospective documentation of sedative, analgesic, and neuromuscular blocking agent use in infants and children in the intensive care unit: A multicenter perspective. Ped Crit Care Med 2: 205–10

    Article  Google Scholar 

  26. Twite MD, Rashid A, Zuk J, Friesen RH (2004) Sedation, analgesia, and neuromuscular blockade in the pediatric intensive care unit: survey of fellowship training programs. Pediatr Crit Care Med 5: 521–32

    Article  PubMed  Google Scholar 

  27. Stinson JN, Kavanagh T et al. (2006) Systematic review of the psychometric properties, interpretability and feasibility of self-report pain intensity measures for use in clinical trials in children and adolescents. Pain 125: 143–57

    Article  PubMed  Google Scholar 

  28. McGrath PJ, Johnson G, Goodman JT et al. (1985) The Children of Eastern Ontario Pain Scale (CHEOPS): A behavioral scale for rating postoperative pain in children. In: Fields HL, Dubner R, Cervero F, eds. Advances in pain research and therapy. New York: Raven Press 395–402

    Google Scholar 

  29. Broadman LM, Rice LJ, Hannallah RS (1988) Testing the validity of an objective pain scale for infants and children. Anesthesiology 69: A770

    Article  Google Scholar 

  30. Ambuel B, Hamlett KW, Marx CM, Blumer JL (1992) Assessing distress in pediatric intensive care environments: the COMFORT scale. J Pediatr Psychol 17: 95–109

    Article  CAS  PubMed  Google Scholar 

  31. Carnevale FA, Razack S (2002) An item analysis of the COMFORT scale in a pediatric intensive care unit. Pediatr Crit Care Med 3: 177–80

    Article  PubMed  Google Scholar 

  32. Triltsch AE, Nestmann G, Orawa H et al. (2005) Bispectral index versus COMFORT score to determine the level of sedation in paediatric intensive care unit patients: a prospective study. Crit Care 9: R9–17

    Article  PubMed  Google Scholar 

  33. Tobias JD (2005) Monitoring the depth of sedation in the pediatric ICU patient: where are we, or more importantly, where are our patients? Pediatr Crit Care Med 6: 715–8

    Article  PubMed  Google Scholar 

  34. Kress J P, Pohlman AS, O’Connor MF and Hall JB (2000) Daily Interruption of Sedative Infusions in Critically Ill Patients Undergoing Mechanical Ventilation. N Engl J Med 342: 1471–7

    Article  CAS  PubMed  Google Scholar 

  35. Katz R, Kelly H W, Hsi A. (1994) Prospective study on the occurrence of withdrawal in critically ill children who receive fentanyl by continuous infusion. Crit Care Med 22: 763–7

    Article  CAS  PubMed  Google Scholar 

  36. Tobias JD (2000) Tolerance, withdrawal, and physical dependency after long-term sedation and analgesia of children in the pediatric intensive care unit. Crit Care Med 28: 2122–32

    Article  CAS  PubMed  Google Scholar 

  37. Berens RJ, Meyer MT, Mikhailov TA et al. (2006) A prospective evaluation of opioid weaning in opioid-dependent pediatric critical care patients. Anesth Analg 102: 1045–50

    Article  CAS  PubMed  Google Scholar 

  38. Riker RR, Shehabi Y, Bokesch PM et al. (2009) and for the SEDCOM (Safety and Efficacy of Dexmedetomidine Compared With Midazolam) Study Group Jama 301: 489–99

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Unité fonctionnelle d’anesthésie-réanimation pédiatrique Département d’anesthésie-réanimation, CHU Charles Nicolle, 76031, Rouen Cedex, France

    C. Ardanuy-Mollens, S. Galene-Gromez, T. Blanc & V. Laudenbach

Authors
  1. C. Ardanuy-Mollens
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Galene-Gromez
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Blanc
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. V. Laudenbach
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag France, Paris

About this chapter

Cite this chapter

Ardanuy-Mollens, C., Galene-Gromez, S., Blanc, T., Laudenbach, V. (2010). Sédation-analgésie en réanimation pédiatrique. In: Analgésie et sédation en réanimation. Le point sur .... Springer, Paris. https://doi.org/10.1007/978-2-287-99029-8_16

Download citation

  • DOI: https://doi.org/10.1007/978-2-287-99029-8_16

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-99028-1

  • Online ISBN: 978-2-287-99029-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation