Headache Management in the Neuroscience Intensive Care Unit.

IF 3.2 2区 医学 Q2 CLINICAL NEUROLOGY
Current Pain and Headache Reports Pub Date : 2024-12-01 Epub Date: 2023-10-24 DOI:10.1007/s11916-023-01181-8
Daniela Pomar-Forero, Bakhtawar Ahmad, Brooke Barlow, Katharina M Busl, Carolina B Maciel
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引用次数: 0

Abstract

Purpose of review: Headache is a common symptom in the Neuroscience Intensive Care Unit (NeuroICU). Our goal is to provide an overview of approaches to headache management for common neurocritical care conditions.

Recent findings: Headache disorders afflict nearly half of patients admitted to the NICU. Commonly encountered disorders featuring headache include cerebrovascular disease, trauma, and intracranial infection. Approaches to pain are highly variable, and multimodal pain regimens are commonly employed. The overall body of evidence supporting therapeutic strategies to manage headache in the critical care setting is slim, and pain control remains suboptimal in many cases with persistent reliance on opioids. Headache is a complex, frequently occurring phenomenon in the NeuroICU care setting. At present, literature on evidence-based practice for management of headache in the critical care setting remains scarce, and despite multimodal approaches, reliance on opioids is commonplace.

Abstract Image

神经科学重症监护室的头痛管理。
综述目的:头痛是神经科学重症监护室(NeuroICU)的常见症状。我们的目标是为常见的神经危重症提供头痛管理方法的概述。最近的发现:新生儿重症监护室近一半的患者患有头痛。以头痛为特征的常见疾病包括脑血管疾病、创伤和颅内感染。治疗疼痛的方法变化很大,通常采用多模式疼痛方案。支持在重症监护环境中控制头痛的治疗策略的总体证据很少,在许多持续依赖阿片类药物的情况下,疼痛控制仍然不理想。头痛是神经重症监护室护理环境中常见的一种复杂现象。目前,关于在重症监护环境中治疗头痛的循证实践的文献仍然很少,尽管有多种方法,但对阿片类药物的依赖是常见的。
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来源期刊
Current Pain and Headache Reports
Current Pain and Headache Reports CLINICAL NEUROLOGY-
CiteScore
6.10
自引率
2.70%
发文量
91
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings regarding the diagnosis, treatment, and management of pain and headache. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care and prevention of pain and headache. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anesthetic techniques in pain management, cluster headache, neuropathic pain, and migraine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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