期刊
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
卷 48, 期 1, 页码 545-551出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s00068-020-01449-3
关键词
Melatonin; Midazolam; Fentanyl; Morphine sulfate; Sedation; Intensive care unit; Critically ill
资金
- Ahvaz Jundishapur University of Medical Sciences [PAIN-9611 IR.AJUMS.REC.1396.949]
This study aimed to evaluate the effect of exogenous melatonin on sedative drugs and mechanical ventilation duration in traumatic intracranial hemorrhage patients in ICU. The results showed that the melatonin group had significantly lower morphine consumption and mechanical ventilation time compared to the control group. Additionally, the melatonin group had a faster rise in Glasgow Coma Score.
Purpose This study aimed to determine the effect of exogenous melatonin on the number of sedative drugs and the duration of mechanical ventilation in traumatic intracranial hemorrhage patients in ICU. Methods This double-blind randomized clinical trial study was conducted in the ICU wards of Golestan Hospital, Ahvaz, Iran, from September 2017 to March 2018. In this study, 52 patients with intracerebral hemorrhage were selected by convenient sampling (26 patients in each group) and were randomly assigned to two groups of melatonin and control. Sedation and pain management package was applied to both groups. Outcomes: Amount of the sedative and opioid drug; mechanical ventilation time; ICU staying time; Glasgow Coma Score; hemodynamic parameters. Results There was no significant difference between them in terms of demographic characteristics. Cumulative doses of morphine and mechanical ventilation time were significant in two groups. (P < 0.05) The mean length of ICU staying was not significant. Glasgow Coma Score on the 6th day was significant in two groups (P < 0.05). Diastolic blood pressure was significant between groups (P < 0.001). Conclusion This study presented that morphine consumption and mechanical ventilation time were significantly lower in the melatonin group than in the control. Also, rise in GCS in the melatonin group was faster in the melatonin group than in the control. The use of melatonin can be recommended for patients with ICH in the ICU for better outcomes.
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