Uso de metadona para el destete de sedación en paciente pediátrico

  • Rubén Ferreras Vega FEA. Anestesia y Reanimación pediátrica. Hospital 12 de Octubre.
  • Alicia Ruiz Escobar Médico adjunto servicio de anestesia H.U Infanta Leonor, Madrid.
  • Manuel Romero Layos Adjunto del servicio de anestesia pediátrica del H.U 12 de Octubre, Madrid.
  • María Dolores Méndez Marín Adjunto del servicio de anestesia pediátrica del H.U 12 de Octubre, Madrid.
Palabras clave: Methadone Withdrawal Weaning Opioids, tapering, methadone, weaning, withdrawal, abstinence, pediatric, critical care, sedation, opioides, dosis reducidas, destete, retirada, abstinencia, pediatría, críticos, sedación

Resumen

Los opioides usados  durante más de cinco días, para sedación en paciente pediátrico, deben ser retirado de forma progresiva con el objetivo de prevenir abstinencia. Para este propósito las pautas de retirada con metadona enteral son frecuentemente utilizadas. Sin embargo, la dificultad en la apliación de protocolos y la diferencia entre pacientes, hacen que esta práctica no esté exenta de dificultad. 

En este artículo intentamos dar respuesta o al menos sugerir pautas, para realizar esta práctica.

ABSTRACT

Use of methadone for sedation weaning in critical ill patient

Opioids used for more than five days in sedation, should be withdrawn progressively in order to prevent abstinence syndrome. Methadone are frequently used for this purpose. However, the difficulty in the application of protocols and the difference between patients, make this practice not free of difficulty.

In this review we try to answer or at least suggest guidelines to carry out this practice.

 

Citas

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Lecturas y protocolos recomendados:
- https://www.starship.org.nz/for-health-professionals/starship-clinical-guidelines/w/weaning-of-opioids-and-benzodiazepines/
https://www.eastbaynewborn.com/docs/Treatment%20of%20Iatrogenic%20Opiate%20Withdrawal%20in%20the%20NICU%20(2).pdf
https://download.lww.com/wolterskluwer_vitalstream_com/PermaLink/PCC/A/PCC_15_3_2013_10_28_STEINECK_13-00084_SDC1.pdf
Publicado
02-05-2019
Cómo citar
Ferreras Vega, R., Ruiz Escobar, A., Romero Layos, M., & Méndez Marín, M. D. (2019). Uso de metadona para el destete de sedación en paciente pediátrico. Revista Electrónica AnestesiaR, 11(4), 1. https://doi.org/https://doi.org/10.30445/rear.v11i4.743