Toward individualized sedation in patients with acute brain damage.

Humans Brain Injuries / therapy Hypnotics and Sedatives / therapeutic use Analgesics Pain Brain
Brain damage Intracranial pressure Opioids Sedatives Traumatic brain injury

Journal

Anaesthesia, critical care & pain medicine
ISSN: 2352-5568
Titre abrégé: Anaesth Crit Care Pain Med
Pays: France
ID NLM: 101652401

Informations de publication

Date de publication:
08 2023
Historique:
received: 04 02 2023
revised: 08 02 2023
accepted: 13 03 2023
medline: 25 7 2023
pubmed: 19 3 2023
entrez: 18 3 2023
Statut: ppublish

Résumé

Sedation/analgesia in patients with acute brain damage, either traumatic or non-traumatic, is paramount to prevent alterations in brain perfusion secondary to the injury. Despite reviews on sedative and analgesic drugs, adequate sedation is an overlooked therapy in the prevention and treatment of intracranial hypertension. When to indicate continued sedation? How to guide the level of sedation? How to terminate sedation? This narrative review provides a practical approach to the individualized use of sedative/analgesic drugs in patients with acute brain damage.

Identifiants

DOI: 10.1016/j.accpm.2023.101219 PMID: 36933799
pubmed: 36933799
pii: S2352-5568(23)00027-9
doi: 10.1016/j.accpm.2023.101219
pii:
doi:

Substances chimiques

Hypnotics and Sedatives 0
Analgesics 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

101219

Informations de copyright

Copyright © 2023 Société française d'anesthésie et de réanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.

Auteurs

Jean-François Payen (JF)

Department of Anesthesiology and Critical Care, Grenoble Alpes University Hospital, F-38000, Grenoble, France; Univ. Grenoble Alpes, Inserm, U1216, Grenoble Alpes University Hospital, Grenoble Institut Neurosciences, F-38000 Grenoble, France. Electronic address: jfpayen@univ-grenoble-alpes.fr.

Clotilde Schilte (C)

Department of Anesthesiology and Critical Care, Grenoble Alpes University Hospital, F-38000, Grenoble, France. Electronic address: CSchilte@chu-grenoble.fr.

Barthelemy Bertrand (B)

Department of Anesthesiology and Critical Care, Grenoble Alpes University Hospital, F-38000, Grenoble, France. Electronic address: BBertrand4@chu-grenoble.fr.

Alexandre Behouche (A)

Department of Anesthesiology and Critical Care, Grenoble Alpes University Hospital, F-38000, Grenoble, France. Electronic address: ABehouche@chu-grenoble.fr.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Toward individualized sedation in patients...
questionsmedicales.fr › Plaies et blessures › Traumatismes du système nerveux › Traumatismes cranioencéphaliques › Lésions encéphaliques › Toward individualized sedation in patients...
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents du système nerveux central › Dépresseurs du système nerveux central › Hypnotiques et sédatifs › Toward individualized sedation in patients...
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents du système nerveux central › Analgésiques › Toward individualized sedation in patients...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système nerveux › Sensation › Douleur › Toward individualized sedation in patients...
questionsmedicales.fr › Système nerveux › Système nerveux central › Encéphale › Toward individualized sedation in patients...