barbiturate coma


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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 ?
Recognizing complications, either directly or indirectly related, to barbiturate coma are important and may lead to improved outcomes [5, 11].
The pain team then discussed with her family whether she would wish to be awakened from the barbiturate coma. The family stated that she would choose to remain in a coma because her overriding fear of severe pain made her existence miserable.
This 20-year-old woman presented with bloody diarrhea that progressed quickly to respiratory distress requiring intubation and to the development of status epilepticus, controlled only by a barbiturate coma. Ongoing nursing care in the critical care unit was vital in preventing complications and promoting a positive outcome.
Second-tier interventions include medications such as propofol (for ICP control) or pentobarbital (to induce barbiturate coma) and hemicraniectomy (Bader & Littlejohns; Chesnut).
S.A., Sipperly, M.E., Barrette, R.R., & Thompson, D.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.[7]