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Analgesic and Sedative Agents Used in the Intensive Care Unit: A Review Publisher Pubmed



Panahi Y1 ; Dehcheshmeh HS2 ; Mojtahedzadeh M3, 4 ; Joneidijafari N5 ; Johnston TP6 ; Sahebkar A7, 8, 9
Authors
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Authors Affiliations
  1. 1. Pharmacotherapy Department, School of Pharmacy, Baqiyatallah University of Medical Sciences, Tehran, Iran
  2. 2. Shahrekord University, Shahrekord, Iran
  3. 3. Clinical Pharmacy Department, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Research Center for Rational Use of Drugs, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
  6. 6. Division of Pharmaceutical Sciences, School of Pharmacy, University of Missouri-Kansas City, Kansas City, MO, United States
  7. 7. Neurogenic Inflammation Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  8. 8. Biotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran
  9. 9. School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran

Source: Journal of Cellular Biochemistry Published:2018


Abstract

Pain is a common experience for most patients in the intensive care unit (ICU). In the current study, the advantages and disadvantages of analgesic and sedative drugs used in the ICU are reviewed. An ideal sedative and analgesic agent should have features such as rapid onset of action, rapid recovery after discontinuation, predictability, minimal accumulation of the agent and metabolites in the body, and lack of toxicity. None of the sedative and analgesic agents have all of these desired characteristics; nevertheless, clinicians must be familiar with these classes of drugs to optimize pharmacotherapy and ensure as few side-effects as possible for ICU patients. © 2018 Wiley Periodicals, Inc.