Arrêt de la sédation en neuroréanimation [Sedation interruption in neurointensive care].

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State: Public
Version: author
Serval ID
serval:BIB_8AD462616DB3
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Arrêt de la sédation en neuroréanimation [Sedation interruption in neurointensive care].
Journal
Annales Françaises d'Anesthésie et de Réanimation
Author(s)
Chioléro R.L., Schoettker P.
ISSN
0750-7658 (Print)
ISSN-L
0750-7658
Publication state
Published
Issued date
2004
Peer-reviewed
Oui
Volume
23
Number
5
Pages
541-545
Language
french
Notes
Publication types: English Abstract ; Journal Article ; Review Publication Status: ppublish
Abstract
The reasons for sedation in neurointensive care can be divided into two main groups: (i) general indications, as for other intensive care patients, such as to allow the necessary treatments (therapeutic facilitation), controlling the states of agitations em leader; (ii) specific indications due to the neuro-physiologic effect of the sedatives: facilitation of the control of the intracranial pressure and lowering of the cortical excitability during the epileptic fits and thereby helping the recovery of the cerebral tissue and diminishing the secondary brain insults. It is important to remember that sedation is usually combined with the administration of opioids, which can potentiate the effect of the sedative drugs. The interruption of the sedation can be long- or short-termed. The definitive interruption is possible once the clinical and cerebral state of the patient does not justify any sedation, whereas the brief interruption allows a neurological reassessment. The amount of literature on sedation in intensive care is opposed to the few studies on neurointensive care: in January 2003, the American Society of Intensive Care has published recommendations for this topic without mentioning the interruption of sedation in neurointensive care patients. The aim of this article is to review the literature about the effects of the interruption of the sedation in neurointensive care patients.
Keywords
Anesthesia, Brain Injuries/therapy, Craniocerebral Trauma/therapy, Humans, Hypnotics and Sedatives/administration & dosage, Hypnotics and Sedatives/therapeutic use, Intensive Care, Neurosurgical Procedures
Pubmed
Web of science
Create date
24/01/2008 17:52
Last modification date
20/08/2019 15:49
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