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- W3997673 abstract "Sedation of critically ill patients with neurologic or neurosurgical pathology is often a controversial topic, as one of the primary tenants of care of these patients is the capacity to perform repeated neurologic examinations to assess for a change (1). Routine sedation of all intubated patients, for example, is not recommended, as somnolence may be the first indication of a worsening intracranial process. However, there are a number of situations when sedation and analgesia are necessary for either patient safety or comfort. These include patients with traumatic brain injury (TBI), who are often agitated and at risk of injury to self or the medical staff caring for them. Many TBI patients are also withdrawing from chronic alcohol and drug use, and this must be factored in to the choice and duration of sedation. Patients who must remain intubated for either neurologic or systemic reasons, and are at risk of selfextubation or show significant anxiety or discomfort while mechanically ventilated, may also require gentle sedation and analgesia. Patients with severe intracranial hypertension may require deep sedation and analgesia or even general anesthesia to control intracranial pressure (ICP) (see also Chapter 5). Similarly, patients with generalized status epilepticus may require general anesthesia to the point of electrographic burst-suppression to control seizure activity (see also Chapter 25)." @default.
- W3997673 created "2016-06-24" @default.
- W3997673 creator A5000156377 @default.
- W3997673 creator A5065799618 @default.
- W3997673 creator A5079914106 @default.
- W3997673 date "2004-01-01" @default.
- W3997673 modified "2023-10-11" @default.
- W3997673 title "Sedation and Analgesia in the Critically Ill Neurology and Neurosurgery Patient" @default.
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