Analgesia at the department of intensive care
Kolonic, V.
Lijecnicki Vjesnik 117 Suppl. 2: 112-113
1995
ISSN/ISBN: 0024-3477 PMID: 8649139 Document Number: 447261
Analgesia at the Department of intensive care can be distributed into three groups, with respect to the patient's respiratory status: 1) analgesia in a patient on controlled ventilation; 2) analgesia in a patient who is being weaned from a respirator; 3) analgesia in a patient breathing spontaneously. In patients of group 1, analgesia, respiratory depression and sedation are achieved with morphine applied parenterally or epidurally. While patients on assisted ventilation (group 2) require good analgesia and sedation, they should remain cooperative; this is achieved with tramadol or ketamine. Spontaneously breathing patients are maintained on tramadol in combination with NSAID. In all patients the dosage needs to be adjusted with respect to the type of pain, age, nutrition status, and previous use of analgesics.