Minimizing Withdrawal With Prolonged Pediatric Sedation in the Setting of the ICU

Authors

Jazmine Skala-Wade, Corewell Health East Resident
Roy Soto, Corewell Health East

Document Type

Conference Proceeding

Publication Date

10-12-2025

Abstract

We present a 6 yo male with no PMH presented to the Pediatric Intensive Care Unit after intubation for airway protection following concern for airway obstruction due to foreign body. The patient subsequently developed severe ARDS and ventilator acquired pneumonia and required prolonged sedation for ten days with multiple sedative agents. He was subsequently extubated and experienced withdrawal symptoms of delirium, tremors, and paranoia. Here I will discuss the presentation, mechanism, and management of withdrawal of midazolam and fentanyl in the setting of pediatric critical care patients.

Comments

American Society of Anesthesiologists, The Anesthesiology Annual Meeting, October 10-14, 2025, San Antonio, TX

Recommended Citation

Skala-Wade J, Soto R. Minimizing withdrawal with prolonged pediatric sedation in the setting of the ICU. Presented at: American Society of Anesthesiologists, The Anesthesiology Annual Meeting; 2025 Oct 12; San Antonio, TX. Available from:https://www.abstractsonline.com/pp8/#!/21028/presentation/9236