Annals of Indian Academy of Neurology
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Year : 2013  |  Volume : 16  |  Issue : 2  |  Page : 194-202

Sedation in neurological intensive care unit


1 Department of Neurology, Dayanand Medical College, Ludhiana, India
2 Critical Care Division, Dayanand Medical College, Ludhiana, India

Correspondence Address:
Gunchan Paul
Critical Care Division, Dayanand Medical College, Ludhiana, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-2327.112465

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Analgesia and sedation has been widely used in intensive care units where iatrogenic discomfort often complicates patient management. In neurological patients maximal comfort without diminishing patient responsiveness is desirable. In these patients successful management of sedation and analgesia incorporates a patient based approach that includes detection and management of predisposing and causative factors, including delirium, monitoring using sedation scales, proper medication selection, emphasis on analgesia based drugs and incorporation of protocols or algorithms. So, to optimize care clinician should be familiar with the pharmacokinetic and pharmacodynamic variables that can affect the safety and efficacy of analgesics and sedatives.


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