脑外伤患者的镇静作用

Lorenzo Peluso, B. López, R. Badenes
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引用次数: 3

摘要

镇静是神经危重症患者的一个重要课题。与普通重症监护室和外伤性脑损伤患者相比,镇静有其治疗指征,如颅内压的管理、癫痫持续状态的治疗、靶向温度管理患者的镇静和阵发性交感神经活动。目前,镇静的评估是通过神经学评估和基于脑电图信号的新监测器来完成的,这些监测器可以帮助医生滴定镇静剂。因此,本章的目的是讨论镇静镇痛药的主要药理学性质,与病理生理问题相关的适应症以及基于上述新技术的滴定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sedation in TBI Patients
Sedation is an important topic in neurocritical patients. When compared with general intensive care unit and traumatic brain-injured patients, sedation has its therapeutic indications, such as management of intracranial pressure, treatment of status epilepticus, sedation for targeted temperature management patients and paroxysmal sympathetic activity. Nowadays, the assessment of sedation is done by neurological evaluation and new monitors based on electroencephalography signals that help the physician titrate the sedative agents. Therefore, the aim of this chapter is to discuss the main pharmacological properties of sedatives and analgesics, their proper indications related to pathophysiological issues and their titrations based on the abovementioned new technologies.
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