PedsCrit
An Expert Approach to Sedation and Early Mobility with Dr. Sapna Kudchadkar -- Part 1
Jan 6, 2025
Dr. Sapna Kudchadkar, Anesthesiologist-in-Chief at Johns Hopkins Children's Center, discusses innovative sedation strategies for critically ill children. She shares techniques to reduce delirium risks and the importance of effective pain management. Listeners learn about optimizing sedation practices, prioritizing 'therapeutic cuddles' for early mobility, and the human element of care. Dr. Kudchadkar emphasizes teamwork, tailored approaches, and family involvement in recovery, all aimed at enhancing outcomes in pediatric critical care.
55:15
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Quick takeaways
- Dr. Sapna Kudchadkar advocates for individualized sedation protocols, prioritizing pain management and using tools like the Sedation Behavior Score to ensure safety and comfort.
- The podcast emphasizes the importance of educating medical teams and involving families in sedation discussions to prevent delirium in young patients during critical care events.
Deep dives
Dr. Sapna Kuchadkar's Credentials and Approach to Pediatric Anesthesia
Dr. Sapna Kuchadkar is a highly experienced anesthesiologist specializing in pediatric anesthesia and critical care at Johns Hopkins Children's Center. She emphasizes the importance of individualized sedation protocols that prioritize pain management first, then sedation as needed, particularly in young patients who are intubated. Dr. Kuchadkar advocates for tools like the Sedation Behavior Score (SBS) to assess patients and guide sedation levels, aiming for the mildest sedation necessary for safety and comfort. Her clinical philosophy revolves around a gradual approach to sedation, starting low and adjusting based on patient response while actively preventing delirium.
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