Sedation and Analgesia for Toxic Epidermal Necrolysis in the Intensive Care Unit: Few Certainties, Many Questions Ahead
نویسندگان
چکیده
Toxic epidermal necrolysis (TEN) is a rare, acute mucocutaneous life-threatening disease. Although research has focused on the pathophysiological and therapeutic aspects of disease, there paucity data in literature regarding pain management sedation intensive care unit (ICU). Most therapies have been extrapolated from other situations and/or general ICU population. These patients present unique challenges during progression disease could end up requiring invasive mechanical ventilation due to inadequate management, which potentially avoidable through comprehensive treatment approach. In this review, we will clinical TEN, analyze pathways relevant pharmacology, propose alternatives based rational multimodal
منابع مشابه
Analgesia and sedation in intensive care unit.
BACKGROUND AND OBJECTIVES Many Intensive Care Unit (ICU) patients present pain. The administration of analgesics and sedatives is crucial for patient comfort and to reduce stress, as well as to prevent delay in recovery and ventilator weaning. The objective of the present study was to conduct a review on analgesia and sedation in the ICU. CONTENT The present study reviewed the causes of pain,...
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Toxic epidermal necrolysis (TEN) is a serious adverse drug reaction with high lethality, which usually requires intensive-medical care. A 44-year-old man developed generalized exanthema with increasing exfoliation and mucosal involvement after taking allopurinol, ibuprofen, and etoricoxib. The clinical diagnosis of TEN was histologically confirmed. Prednisolone therapy with 3 mg/kg body weight ...
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ژورنال
عنوان ژورنال: Journal of Personalized Medicine
سال: 2023
ISSN: ['2075-4426']
DOI: https://doi.org/10.3390/jpm13081194