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Assesses the severity of iatrogenic opioid and benzodiazepine withdrawal symptoms in pediatric ICU patients requiring weaning from sedoanalgesia. The WAT-1 (Withdrawal Assessment Tool Version 1) was developed by the PICU weaning collaborative and is validated in children aged 0–18 years who received ICU sedation for ≥ 5 consecutive days.
Pre-Stimulus Observation (2 minutes of observation before any stimulus)
Stimulus Observation (During Care Activity or Arousal Attempt)
Post-Stimulus Recovery (First 2 Minutes After Stimulus Ends)
Yawning, Sneezing, or Nasal Stuffiness (Pre- or Post-Stimulus)
Increased Muscle Tone or Arching
Tremor or Jitteriness
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