Pain Management in Neurocritical Care

Abstract

The core challenge of pain management in neurocritical care is to keep the patient comfortable without masking or overlooking any neurological deterioration. Clearly in patients with a neurological problem there is a conflict of clinical judgement and adequate pain relief. Here we review the presentation, assessment, and development of pain in the clinical spectrum of patients with associated neurological problems seen in a general intensive care setting. Many conditions predispose to the development of chronic pain. There is evidence that swift and targeted pain management may improve the outcome. Importantly pain management is multidisciplinary. The available non-invasive, pharmacological, and invasive treatment strategies are discussed.

Fluctuations in vital signs and behavioural responses of brain surgery patients in the Intensive Care Unit: are they valid indicators of pain?

“…, Hansen et al . , Nair & Rajshekhar , Petzold & Girbes ). The ability of postbrain surgery nICU patients to communicate can be diminished due to sedation, mechanical ventilation or deficits related to their brain injury (Petzold & Girbes ).…”

Inadequacy of Headache Management After Subarachnoid Hemorrhage

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The use of remifentanil in critically ill patients undergoing percutaneous dilatational tracheostomy: A prospective randomized‐controlled trial

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