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Sedation Problems on CVVH?



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May 01, 2008 06:30 PM

Sedation Problems on CVVH?

by gal220RN Platinum Member

Anyone out there have issues sedating their kids who are on CVVH? What do you use? How much?
We feel like we are hitting our heads against a brick wall to keep these kids down (and to keep them from clotting their circuits off!).

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4 Comments
No. 1
from sammyrnlv
Old May 04, 2008, 12:12 AM

Default Re: Sedation Problems on CVVH?
Fentanyl, versed and vec if you need it (only on tubed kids!). If they are clotting off their lines, they need to go down! When you get to the point that you need CVVH, then they should be tubed and the medical staff should be in control, not the patient. Hope this helps. All our kids are tubed it they are that sick!
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No. 2
from gal220RN
Old May 04, 2008, 07:52 AM

Default Re: Sedation Problems on CVVH?
Most of our kids are intubated as well, but we still have a difficult time keeping them sedated. We use vec all the time, but our docs do not paralyze as a standard of practice. We usually have to beg, unless they are on HFOV.

Thanks for your comments.
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No. 3
from PICUmale
Old Jun 11, 2008, 03:59 PM

Default Re: Sedation Problems on CVVH?
Versed and fentanyl drips with prn boluses available is what we use while patients are on CRRT.
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No. 4
from sara52g
Old Jun 14, 2008, 10:18 PM

Default Re: Sedation Problems on CVVH?
Originally Posted by heelgal View Post
Anyone out there have issues sedating their kids who are on CVVH? What do you use? How much?
We feel like we are hitting our heads against a brick wall to keep these kids down (and to keep them from clotting their circuits off!).
We have this problem with the smaller kids- the regular sedation doses we would give to them gets metabolized way too quickly when on the circuit. You can usually get them under control though just by giving much higher doses
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