barbiturate coma


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barbiturate coma

Etymology: Ger, Saint Barbara's Day, Gk, koma, deep sleep
an effect of barbituric acid or its derivatives, which may be rapid-acting sedatives, hypnotics, and respiratory depressants. Barbiturate coma may be intentionally induced for the treatment of some neurological conditions.

barbiturate coma

The use of barbiturates (e.g., pentobarbital) to induce a loss of consciousness, which has a secondary or “double” effect of inducing hypoxia and respiratory failure.

barbiturate coma

Medical ethics The use of barbiturates–eg, pentobarbital, to induce a loss of consciousness, which has a 2º–'double' effect of inducing hypoxia and respiratory failure. See Euthanasia, Physician-assisted suicide.

barbiturate coma

A coma caused by ingestion or injection of barbiturates. It is used clinically in the treatment of elevated intracranial pressure.

Patient care

The patient usually requires intubation and mechanical ventilation. Ventilatory status and oxygenation are monitored, adequate ventilation is maintained, and pulmonary toilet is provided. Aseptic technique is used for all procedures to prevent nosocomial infections.

See also: coma
References in periodicals archive ?
2] to 100% due to pulmonary issues; 250 ml albumin to increase wedge pressure to 12 mm Hg; increase phenylphrine drip; initiate barbiturate coma 0030 Vasopressors maximum; family at bedside Day 7: Neuro crisis: Sj[O.
R (1994) The efficacy of barbiturate coma in the management of uncontrolled intracranial hypertension following neurosurgical trauma.
Barbiturate coma is not a first-line approach and should be used with caution in hemodynamically unstable patients.