Neuroleptanesthesia: current status

Détails

ID Serval
serval:BIB_C1D1E58C5092
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
Neuroleptanesthesia: current status
Périodique
Canadian Journal of Anaesthesia
Auteur(s)
Bissonnette  B., Swan  H., Ravussin  P., Un  V.
ISSN
0832-610X
Statut éditorial
Publié
Date de publication
02/1999
Peer-reviewed
Oui
Volume
46
Numéro
2
Pages
154-68
Notes
Journal Article
Review --- Old month value: Feb
Résumé
PURPOSE: To review the current status and possible future of neuroleptanalgesia/anesthesia, techniques that may be nearly extinct. SOURCE: Articles from 1966 to present were obtained from the Current Science and Medline databases. Search terms include neurolepananalgesia/anesthesia, conscious sedation, droperidol, benzodiazepines, propofol, ketamine, and opioids. Information and abstracts obtained from meetings on this topic helped complete the collection of information. PRINCIPAL FINDINGS: Droperidol/fentanyl may still be clinically indicated in the management of surgical seizure therapy for electrocorticography. However, the high incidence of post-operative sedation and restlessness discourage its use for other surgical or diagnostic procedures. Many surgical interventions, once thought ideally suited for neuroleptic agents, now meet better success with newer medications. The use of midazolam and/or propofol, in association with newer opioids, provides ideal anesthetic combinations. CONCLUSION: The advantages of newer anesthetic agents have redefined the clinical indications for neuroleptanesthesia. In routine modern anesthesia, anxiolysis, sedation, and/or analgesia is better provided, with quicker recovery, by the new pharmacokinetic and pharmacodynamic characteristics of recent medications than by the neuroleptic component of neuroleptanesthesia.
Mots-clé
Adjuvants, Anesthesia/therapeutic use Analgesics, Opioid/therapeutic use Anesthetics, Dissociative/administration & dosage Anesthetics, Intravenous/administration & dosage Anti-Anxiety Agents/therapeutic use Antipsychotic Agents/*administration & dosage/therapeutic use Conscious Sedation/methods Droperidol/therapeutic use Fentanyl/administration & dosage Humans Ketamine/administration & dosage Midazolam/administration & dosage *Neuroleptanalgesia Propofol/administration & dosage
Pubmed
Web of science
Open Access
Oui
Création de la notice
17/01/2008 17:19
Dernière modification de la notice
09/05/2019 0:47
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