TITLE:
Research Progresses in Effects of Analgesics and Sedatives on Intracranial Pressure of Neurointensive Care Patients
AUTHORS:
Gang Yang
KEYWORDS:
Neurointensive, Analgesics and Sedatives, Intracranial Pressure
JOURNAL NAME:
World Journal of Neuroscience,
Vol.12 No.3,
August
5,
2022
ABSTRACT: At present, there are some concerns and problems to
treat neurointensive care patients by using analgesics and sedatives.
Conditions of neurointensive care patients change quickly. For neurointensive
care patients who cannot have auxiliary examination timely, clinicians judge
intracranial conditions mainly through relevant monitoring devices and
consciousness and pupil changes of patients.
The use of analgesics and sedatives is limited due to worry about influences on consciousness evaluation and
judgment and different degrees of inhibition on cardiovascular system and
respiratory system. Common sedatives (e.g.
benzodiazepines) and common analgesics (e.g. morphine, fentanyl and
sufentanil) both may inhibit respiration. The specification often provides
taboos for the use of drugs by patients with increase intracranial pressure
(ICP) and craniocerebral injuries. Through literature review, the author
analyzed influences of analgesics and sedatives on ICP of neurointensive care
patients comprehensively.