The latest clinical guidelines for pediatric intensive care unit (PICU) by the Society of Critical Care Medicine comprise recommendations on crucial domains of PICU care, viz. , pain prevention and management, sedation, agitation, iatrogenic withdrawal, neuromuscular blockade, delirium, PICU environment, and early mobility. This article focuses on the practical clinical recommendations and evidence-based suggestions for iatrogenic withdrawal syndrome (IWS) screening and management in PICU patients.
1 IWS is commonly observed in PICU patients following abrupt discontinuation or rapid tapering of benzodiazepines and analgosedation with opioid administration, accounting for 87% of IWS incidences. 2,3 IWS assessment in critically ill pediatric patients Management of IWS in critically ill pediatric patients Assessment, monitoring, and management of IWS are essential parts of the…
