在神经科学重症监护室的头痛管理
Daniela Pomar-Forero1, Bakhtawar Ahmad1, Brooke Barlow2
1Department of Neurology, Division of Neurocritical Care, University of Florida College of Medicine, Gainesville, FL, 32611, USA.
Current pain and headache reports
|October 24, 2023
概括
在神经科学重症监护室 (NeuroICU) 中,头痛很常见,影响了近一半的患者. 目前对有效的头痛管理的证据有限,往往导致低于最佳的疼痛控制和依赖阿片类药物.
科学领域:
- 神经科学是一个神经科学.
- 关键护理医学 关键护理医学
- 疼痛管理 疼痛管理
背景情况:
- 头痛是神经科学重症监护室 (NeuroICU) 患者中普遍存在的症状.
- 与头痛相关的常见神经关键护理条件包括脑血管疾病,创伤和内感染.
- 在NeuroICU的疼痛管理策略是多样化的,经常使用多式联络方法.
研究的目的:
- 提供当前头痛管理策略的全面概述.
- 为了解决与头痛相关的常见神经临床护理条件.
- 突出在重症监护机构的基于证据的头痛治疗中的挑战和局限性.
主要方法:
- 对神经临床护理中头痛管理现有文献的综述.
- 对引起头痛的常见神经疾病的综合方法.
- 分析当前的治疗策略及其有效性.
主要成果:
- 头痛障碍影响近50%的NeuroICU入院患者.
- 支持关键护理头痛的特定治疗策略的证据很少.
- 在NeuroICU的疼痛控制仍然不理想,尽管采用多式模式治疗方案,但经常依赖阿片类止痛药.
结论:
- 头痛是一个复杂而频繁的问题在NeuroICU.
- 需要更多基于证据的指导方针来管理重症监护中的头痛.
- 当前的做法往往会导致低于最佳的疼痛缓解和过度依赖阿片类药物.
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