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Parental presence in the pediatric intensive care unit reduces postoperative sedative requirements: A retrospective

Vitaliy Sazonov1,2, Alpamys Issanov3, Sayazhan Turar4

  • 1Department of Surgery, School of Medicine, Nazarbayev University, Astana 010000, Kazakhstan.

World Journal of Clinical Pediatrics
|June 10, 2025
PubMed

Insights

Parental presence in the pediatric intensive care unit (PICU) was associated with reduced sedative medication, but not analgesics. This finding highlights the importance of parental care in pediatric sedation management.

Area of Science:

  • Pediatric critical care medicine
  • Pharmacology
  • Patient and family-centered care

Background:

  • Sedation in critically ill children can lead to side effects and complications.
  • Assessing pain and agitation in pediatric patients is challenging due to communication barriers.
  • Sedation protocols for children require meticulous attention to patient safety.

Purpose of the Study:

  • To investigate the impact of an internal parental care protocol on sedative use in pediatric intensive care units (PICUs).
  • To evaluate the association between parental presence and the need for postoperative sedation in pediatric patients.

Main Methods:

  • A retrospective cohort study conducted in a tertiary medical center's PICU.
  • Comparison of sedation practices during pandemic-related restrictions on parental presence versus periods of normal access.
  • Agitation assessed using the Richmond Agitation-Sedation Scale; logistic regression used to analyze parental care's association with sedation.

Main Results:

  • A total of 289 pediatric patients were analyzed; 167 during restrictions and 122 after.
  • Multivariate analysis revealed parental care was linked to significantly lower odds of diazepam prescription (OR=0.11).
  • No significant association was found between parental care and the prescription of analgesic drugs.

Conclusions:

  • Parental care in the PICU is associated with a decrease in the administration of sedative medications.
  • The study did not find a similar association for analgesic drug use.
  • Findings suggest parental presence may play a role in modulating the need for sedation in pediatric intensive care.
Abstract

Keywords:
KazakhstanPediatric intensive care unitPediatricsPeriod postoperativePostoperative careSedatives

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