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Parental perceptions of comfort during mechanical ventilation

S D Playfor1, D A Thomas, I Choonara

  • 1Paediatric Intensive Care Unit, Birmingham Children's Hospital, Birmingham, UK.

Paediatric Anaesthesia
|December 21, 2000
PubMed

Insights

Parents

Area of Science:

  • Pediatric Critical Care Medicine
  • Pain Management
  • Sedation

Background:

  • Mechanical ventilation is a critical intervention for critically ill children.
  • Parental perception of comfort during pediatric mechanical ventilation is underreported.
  • Sedation quality is crucial for patient comfort and clinical outcomes.

Purpose of the Study:

  • To assess the quality of sedation in mechanically ventilated children.
  • To compare pediatric intensive care unit (PICU) staff satisfaction with sedation levels to parental comfort assessments.
  • To explore factors influencing parental comfort and staff satisfaction.

Main Methods:

  • Assessed sedation quality in 28 mechanically ventilated children.
  • Collected parental comfort assessments via postal questionnaire.
  • Compared parental comfort ratings with PICU staff satisfaction scores.

Main Results:

  • No correlation found between parental comfort assessment and PICU staff satisfaction with sedation.
  • Parental comfort assessment positively correlated with the duration of mechanical ventilation.
  • PICU staff satisfaction positively correlated with the child's age; midazolam/morphine less effective in younger children.

Conclusions:

  • Parental satisfaction with comfort increases with longer ventilation duration, impacting parent-professional communication.
  • Current sedation regimens may be less effective in younger pediatric patients.
  • Further research needed to optimize sedation and comfort for pediatric mechanical ventilation.

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