Naslov
Analgesia in the Neurosurgical Intensive Care Unit

Autori
Kvolik , Slavica ; Koruga , Nenad ; Škiljić , Sonja

Izvornik
Frontiers in Neurology (1664-2295) 12 (2021); 1-8

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
analgesia, pain, intensive care units, neurosurgery, opioids, drug side effects, constipation, gastroparesis

Sažetak
Acute pain in neurosurgical patients is an important issue. Opioids are the most used for pain treatment in the neurosurgical ICU. Potential side effects of opioid use such as oversedation, respiratory depression, hypercapnia, worsening intracranial pressure, nausea, and vomiting may be problems and could interfere with neurologic assessment. Consequently, reducing opioids and use of non-opioid analgesics and adjuvants (N-methyl- D-aspartate antagonists, a2 -adrenergic agonists, anticonvulsants, corticosteroids), as well as non- pharmacological therapies were introduced as a part of a multimodal regimen. Local and regional anesthesia is effective in opioid reduction during the early postoperative period. Among non- opioid agents, acetaminophen and non-steroidal anti-inflammatory drugs are used frequently. Adverse events associated with opioid use in neurosurgical patients are discussed. Larger controlled studies are needed to find optimal pain management tailored to neurologically impaired neurosurgical patients.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti

Napomena
Supported by IP16-20 and IP1-21 by Medical Faculty
Josip Juraj Strossmayer University; Osijek

POVEZANOST RADA