AUTHOR=Castro Roberta Esteves Vieira de , Rodríguez-Rubio Miguel , Magalhães-Barbosa Maria Clara de , Prata-Barbosa Arnaldo , Holbrook Jaimee , Kamat Pradip , Stormorken Anne TITLE=A review of key strategies to address the shortage of analgesics and sedatives in pediatric intensive care JOURNAL=Frontiers in Pediatrics VOLUME=10 YEAR=2022 URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2022.895541 DOI=10.3389/fped.2022.895541 ISSN=2296-2360 ABSTRACT=Importance

Targeted analgosedation is a challenge in critically ill children, and this challenge becomes even more significant with drug shortages.

Observations

Published guidelines inform the provision of analgosedation in critically ill children. This review provides insights into general approaches using these guidelines during drug shortages in Pediatric Intensive Care Units as well as strategies to optimize both pharmacological and non-pharmacological approaches in these situations.

Conclusions and relevance

Considering that drug shortages are a recurrent worldwide problem, this review may guide managing these drugs in critically ill children in situations of scarcity, such as in pandemics or disasters.