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Fri, 09/19/2008 - 11:55

Jenn M.

Sedation for PICC line insertion in peds patients

We currently sedate on a case by case basis, and commonly use versed and fentanyl for our peds PICC patients.Â On kids 2-5 years old, we commonly use ketamine and versed.Â Some of our patients need versed only or nothing at all.Â Management is currently looking at our sedation rates and feel that a lot of our patients can be done non-sedate, which in turn may increase the number of PICCs we could place on any given day.Â I would appreciate any info regarding percentage of peds patients sedated vs. non sedated in your institution (especially if you are a children's facility). Also, I'd appreciate if you'd include whether or not you have child life available.

Thanks in advance,

-jenn

Sat, 09/20/2008 - 18:00

anna liang

would like to know the

would like to know the median age of your picc pts. and the % of your sedation?

for us, it is about 35% -- not counting the picu & icn pts or OR cases. child life is always available.

Thu, 10/02/2008 - 09:09

Beverly Sharpe

We also sedate on case by

We also sedate on case by case basis and have a peds sedation team that handles the sedation and airway completely. Between age of approximately 12 mo to roughly 6-8 yrs old depending on their maturity and understanding and tolerance. If we go without sedation for any age we do use child life for comfort/distraction. If they are in between sedation age and tough teenager we often use oral versed and always use LMX and buffered lidocaine for PICC. About 30% are done under sedation/ventilation-sedation.

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