Evidence map›Paper›PMID 36881257›Full record

ReviewCurrent neurology and neuroscience reports2023

Modern Sedation and Analgesia Strategies in Neurocritical Care.

Andrew Bauerschmidt, Tarik Al-Bermani, Syed Ali, Brittany Bass, Jessica Dorilio, Jon Rosenberg, Fawaz Al-Mufti

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Current neurology and neuroscience reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06848452 (Clinical Study on the Efficacy and Safety of Hydromorphone for ICU Analgesia), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06848452 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Clinical Study on the Efficacy and Safety of Hydromorphone for ICU Analgesia

TypeobservationalSponsorAffiliated Hospital of Nantong UniversityRan2025 to 2027Enrolled300ConditionsAnalgesia, ICU Patients Requiring Invasive Mechanical VentilationArmsno-intervention
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Sedation and analgesia strategies in the neuro intensive care unit.World journal of critical care medicine · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Managing Intracranial Pressure Crisis.Current neurology and neuroscience reports · 2024
    Review
  12. Sedation Vacations in Neurocritical Care: Friend or Foe?Current neurology and neuroscience reports · 2024
    Review
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Andrew BauerschmidtDepartment of Neurology-Westchester Medical Center, New York Medical College, Valhalla, NY, USA. Andrew.Bauerschmidt@wmchealth.org.ORCID 0000-0001-8535-127X
Tarik Al-BermaniDepartment of Pulmonary, Critical Care, and Sleep Medicine-Westchester Medical Center, Valhalla, NY, USA.
Syed AliDepartment of Neurology-Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
Brittany BassDepartment of Pulmonary, Critical Care, and Sleep Medicine-Westchester Medical Center, Valhalla, NY, USA.
Jessica DorilioDepartment of Neurology-Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
Jon RosenbergDepartment of Neurology-Westchester Medical Center, New York Medical College, Valhalla, NY, USA.
Fawaz Al-MuftiDepartment of Neurology-Westchester Medical Center, New York Medical College, Valhalla, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewPatients with acute neurologic injury require a specialized approach to critical care, particularly with regard to sedation and analgesia. This article reviews the most recent advances in methodology, pharmacology, and best practices of sedation and analgesia for the neurocritical care population. RECENT

findingsIn addition to established agents such as propofol and midazolam, dexmedetomidine and ketamine are two sedative agents that play an increasingly central role, as they have a favorable side effect profile on cerebral hemodynamics and rapid offset can facilitate repeated neurologic exams. Recent evidence suggests that dexmedetomidine is also an effective component when managing delirium. Combined analgo-sedation with low doses of short-acting opiates is a preferred sedation strategy to facilitate neurologic exams as well as patient-ventilator synchrony. Optimal care for patients in the neurocritical care population requires an adaptation of general ICU strategies that incorporates understanding of neurophysiology and the need for close neuromonitoring. Recent data continues to improve care tailored to this population.

Indexed as

AnalgesiaDexmedetomidinePropofolCritical CareHumansHypnotics and SedativesIntensive Care UnitsPainRespiration, ArtificialDexmedetomidineHypnotics and SedativesPropofolAnalgo-sedationCerebral blood flowNeurocritical carePupillary reflexSedation

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.