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Sedation, Pain, and Delirium in Patients with Traumatic Brain Injury

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Traumatic Brain Injury

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

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Abstract

The objectives of sedation/analgesia in patients with severe traumatic brain injury (TBI) are focused on preventing alterations in brain perfusion secondary to the injury through the control of intracranial pressure. Among the therapeutic options to prevent and treat intracranial hypertension, sedation/analgesia is paramount in such patients. However, despite flourished literature on the management of TBI patients, there is a paucity of literature reviews concerning the clinical management of pain, sedation, and delirium in these patients. This chapter provides a practical approach to the optimal use of sedative drugs, the best choice of strategies and pain monitoring, and the termination of sedation and analgesia in patients with severe TBI.

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Authors and Affiliations

  1. Pôle d’Anesthésie-Réanimation, Grenoble Alpes University Hospital, Grenoble, France

    Jean-François Payen, Clotilde Schilte & Alexandre Behouche

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  1. Jean-François Payen
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  2. Clotilde Schilte
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  3. Alexandre Behouche
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Correspondence to Jean-François Payen .

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Editors and Affiliations

  1. Dept. Anesthesia & Intensive Care, Pisa University Hospital, Pisa, Italy

    Etrusca Brogi

  2. General, Emergency and Trauma Surgery Deptartment, Pisa University Hospital, PISA, Pisa, Italy

    Federico Coccolini

  3. Surgical Intensive Care Unit, Cedars-Sinai Medical Center, Los Angeles, CA, USA

    Eric J. Ley

  4. Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA

    Alex Valadka

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Payen, JF., Schilte, C., Behouche, A. (2024). Sedation, Pain, and Delirium in Patients with Traumatic Brain Injury. In: Brogi, E., Coccolini, F., Ley, E.J., Valadka, A. (eds) Traumatic Brain Injury. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-031-50117-3_14

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  • DOI: https://doi.org/10.1007/978-3-031-50117-3_14

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