Critical Care Medicine-Neurologic Disorders>>>>>Analgesia, Sedation and Neuromuscular Blockade
Question 9#

Which of the following would be the LEAST useful to use as an analgesic adjunct with the goal of reducing opioid consumption in the ICU?

A. Dexmedetomidine
B. Ketamine
C. Acetaminophen
D. Midazolam
E. Gabapentin

Correct Answer is D

Comment:

Correct Answer: D

Benzodiazepines do not have analgesic properties. Acetaminophen, ketamine, and dexmedetomidine have generalized analgesic effects. Gabapentin is helpful in managing neuropathic pain symptoms.

References:

1. Devlin JW, Skrobik Y, Gélinas C, et al. Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. Crit Care Med. 2018;46(9):e825-e873.
2. Habibi V, Kiabi FH, Sharifi H. The effect of dexmedetomidine on the acute pain after cardiothoracic surgeries: a systematic review. Braz J Cardiovasc Surg. 2018;33(4):404-417.
3. Jessen Lundorf L, Korvenius Nedergaard H, Møller AM. Perioperative dexmedetomidine for acute pain after abdominal surgery in adults. Cochrane Database Syst Rev. 2016;18(2):CD0103558.