PICU Clinical Pathway for Sedation/Analgesia
in the Invasively Mechanically Ventilated Patient

Start SBS and Age-Appropriate
Pain Scale Assessment
Review Pain Scales
Assess SBS, Pain Score every 4 hr and PRN as needed
SBS ≤ Goal
Over Sedated
SBS > Goal
Under Sedated
Ready for Extubation
Weaning Pathway
Posted: June 2014
Revised: October 2024
Editors: Clinical Pathways Team