Sedation-analgesia, Muscle Relaxant Applications in Pediatric Intensive Care Units and Guidelines for the Management and Environment Optimization of Clinical Statements Such as Withdrawal, Delirium Developed During These Applications

Regardless of the patient's age or underlying clinical condition, painful interventions are frequently performed during admission and follow-up in intensive care units.Pain may be caused by the underlying disease or may develop due to care.In intensive care units, pain caused by endotracheal tubes and mechanical ventilation is important.Factors such as separation from family, disturbances in the day and night cycles, noise of machines and monitors, unfamiliar people, and fear of death may cause emotional stress, anxiety, and insomnia in pediatric intensive care units (PICU).The aim of using sedation and analgesia in pediatric patients is to ensure that the patient is comfortable, to minimize physical discomfort and pain, to prevent psychological trauma by reducing anxiety, to create amnesia, to increase the success of assisted ventilation by keeping the level of consciousness and movement of the patient under control, and to ensure a safe return to the pre-consciousness level after the application.