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(^) Figure 2. PICU SHORT TERM EXTUBATION ALGORITHM (<3 days)
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Morphine 0.05q2h prn-0.1mg/kg/dose IV
Exhibiting signs of agitation requiring rescue boluses
3 non procedural boluses in 8hrs
Midazolam 0.05 mg/kg/dose IVq1h prn
Exhibiting signs of discomfort requiring rescue boluses
Morphine 0.05 mg/kg/dose IV q2h prn
Pain Agitatio n
Midazolam 0.05q1h prn-0.1mg/kg/dose IV
Increase bolus dose to Morphine 0.15-0.2 mg/kg/dose IV q2h Increase bolus dose to midazolam 0.15-0.2 mg/kg IV q1h
3 non procedural boluses in 8hrs
Unable to capture despite increase in sedation boluses, Consider additional
agent to avoid further escal ation:
Dexmedetomidine gtt 0.2 - 0.7mg/kg/h
OR
Propofol gtt 12.5 - 25mcg/kg/min