Oscillators & sedation - Page 2

In our state, ketamine and propofol are both classified as anesthetic agents. RN's may initiate, monitor & often titrate infusions, but cannot give as IV pushes - that has to be done by doc or CRNA.

Like I said - all of our oscillator pt's are paralyzed with full anticipation / precautions for pneumos. Never had one that I can recall that we haven't paralyzed. Like Jan said, just shows the differences in practice!

In our PICU, the oscillated kids are always on sedative/analgesic drips (Fentanyl and Versed), as well as a paralyzing drip (Vecuronium). Our docs don't want any chance of our patients trying to breathe against the vent. We usually stop the paralytic upon transitioning them back to the Servo-I.

We also use a paralytic drip in conjunction with typically a fentanyl infusion for sedation, occasionally versed and bolus doses prn for our oscillated patients.

Hey all
Patients who are oscillated in our unit are usualy on Rocuronium to keep them still....although I do think our unit is looking at using Roc a little less and will probaby go for the old morphine and midaz option.

x