I have been trying to do research and find out what other units are doing. I come from an adult ICU unit and have been in PICU for a year. Our unit uses mostly Fentanyl, Versed and Nimbex PRN. This bothers me, but I have not been able to find a lot of info on what others are doing. Babies do self extubate much easier, and Fentanyl and Nimbex are given together, but the Nimbex really bothers me. I think the doses of the sedatives should be increased or drips started rather than leaving all the PRN's left to nursing discretion (in my opinion...lazy nurse=stoned kid). What kind of success do you have with Precedex? I went to an information dinner when I was in the adult Trauma ICU, but have never seen it used on kids. I am very interested in this topic and am hoping for more replies. I, of course, have much more to say :), but am just trying to make it short!