Neurocritical Care
beats/minute, respiratory rate 18 breaths/minute,
Sao2 99%, and central venous pressure 5 mm Hg.
Her most recent transcranial Doppler velocities are
mean middle cerebral artery 125/135 (right/left),
with a corresponding Lindegaard ratio of 3.5/3.7
(right/left). Her ICP is currently 24 mm Hg. She has
a Licox monitor placed in the hemisphere ipsilateral
to her aneurysm, which currently reveals a partial
pressure of brain tissue oxygen of 14%. She is
intubated and on the ventilator. Her GCS score has
decreased from 10 to 8 during the past hour. Which
treatment would be most appropriate for this patient
in the ICU?
Γ 1.
Which sedative in an intubated patient is most desir-
able for a patient with a diagnosis of SAH currently
having vasospasm?