Page last updated: 2024-10-27

fentanyl and Brain Injuries

fentanyl has been researched along with Brain Injuries in 31 studies

Fentanyl: A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
fentanyl : A monocarboxylic acid amide resulting from the formal condensation of the aryl amino group of N-phenyl-1-(2-phenylethyl)piperidin-4-amine with propanoic acid.

Brain Injuries: Acute and chronic (see also BRAIN INJURIES, CHRONIC) injuries to the brain, including the cerebral hemispheres, CEREBELLUM, and BRAIN STEM. Clinical manifestations depend on the nature of injury. Diffuse trauma to the brain is frequently associated with DIFFUSE AXONAL INJURY or COMA, POST-TRAUMATIC. Localized injuries may be associated with NEUROBEHAVIORAL MANIFESTATIONS; HEMIPARESIS, or other focal neurologic deficits.

Research Excerpts

ExcerptRelevanceReference
"To evaluate the clinical effectiveness of bolus-dose fentanyl and midazolam to treat episodic intracranial hypertension in children with severe traumatic brain injury."7.83Fentanyl and Midazolam Are Ineffective in Reducing Episodic Intracranial Hypertension in Severe Pediatric Traumatic Brain Injury. ( Doctor, A; Kharasch, ED; Leonard, JR; Pineda, JA; Wallendorf, MJ; Welch, TP, 2016)
"Despite common use of narcotics in the clinical management of severe traumatic brain injury (TBI), in experimental models rats treated with fentanyl have exhibited worse functional outcome and more CA1 hippocampal death than rats treated with standard isoflurane anesthesia."7.72Hyperglycolysis is exacerbated after traumatic brain injury with fentanyl vs. isoflurane anesthesia in rats. ( Clark, RS; Janesko, KL; Jenkins, LW; Kochanek, PM; Melick, JA; Statler, KD, 2003)
"Remifentanil was effective, well tolerated and provided comparable haemodynamic stability to that of the hypnotic-based regimen."6.71Safety and efficacy of analgesia-based sedation with remifentanil versus standard hypnotic-based regimens in intensive care unit patients with brain injuries: a randomised, controlled trial [ISRCTN50308308]. ( Karabinis, A; Kirkham, AJ; Komnos, A; Mandragos, K; Soukup, J; Speelberg, B; Stergiopoulos, S, 2004)
"To evaluate the clinical effectiveness of bolus-dose fentanyl and midazolam to treat episodic intracranial hypertension in children with severe traumatic brain injury."3.83Fentanyl and Midazolam Are Ineffective in Reducing Episodic Intracranial Hypertension in Severe Pediatric Traumatic Brain Injury. ( Doctor, A; Kharasch, ED; Leonard, JR; Pineda, JA; Wallendorf, MJ; Welch, TP, 2016)
"Despite common use of narcotics in the clinical management of severe traumatic brain injury (TBI), in experimental models rats treated with fentanyl have exhibited worse functional outcome and more CA1 hippocampal death than rats treated with standard isoflurane anesthesia."3.72Hyperglycolysis is exacerbated after traumatic brain injury with fentanyl vs. isoflurane anesthesia in rats. ( Clark, RS; Janesko, KL; Jenkins, LW; Kochanek, PM; Melick, JA; Statler, KD, 2003)
" To reach an adequate cerebral perfusion pressure (CPP), the norepinephrine dosage was adapted successively."2.73Effects of fentanyl and S(+)-ketamine on cerebral hemodynamics, gastrointestinal motility, and need of vasopressors in patients with intracranial pathologies: a pilot study. ( Bertsch, T; Horn, P; Muench, E; Quintel, M; Schmittner, MD; Vajkoczy, P; Vajkoczy, SL, 2007)
"Remifentanil was effective, well tolerated and provided comparable haemodynamic stability to that of the hypnotic-based regimen."2.71Safety and efficacy of analgesia-based sedation with remifentanil versus standard hypnotic-based regimens in intensive care unit patients with brain injuries: a randomised, controlled trial [ISRCTN50308308]. ( Karabinis, A; Kirkham, AJ; Komnos, A; Mandragos, K; Soukup, J; Speelberg, B; Stergiopoulos, S, 2004)
"Ketamine was supposed to be contra-indicated in head injured patients although it possesses numerous advantages over other commonly used analgosedative drugs."2.68Ketamine for analgosedative therapy in intensive care treatment of head-injured patients. ( Braun, U; Gremmelt, A; Kolenda, H; Markakis, E; Rading, S, 1996)
"Rats treated with isoflurane had the best cognitive recovery (p < 0."1.33Comparison of seven anesthetic agents on outcome after experimental traumatic brain injury in adult, male rats. ( Alexander, H; Clark, RS; Dixon, CE; Jenkins, L; Kochanek, PM; Statler, KD; Vagni, V, 2006)
"Fentanyl-treated rats had higher mean arterial blood pressure after injury (p < 0."1.31Isoflurane improves long-term neurologic outcome versus fentanyl after traumatic brain injury in rats. ( Alexander, HL; Clark, RS; Dixon, CE; Graham, SH; Jenkins, LW; Kochanek, PM; Marion, DW; Safar, PJ; Statler, KD; Warner, DS; Wisniewski, SR, 2000)

Research

Studies (31)

TimeframeStudies, this research(%)All Research%
pre-19906 (19.35)18.7374
1990's9 (29.03)18.2507
2000's8 (25.81)29.6817
2010's7 (22.58)24.3611
2020's1 (3.23)2.80

Authors

AuthorsStudies
Garg, PM1
Rebentisch, A1
Zhang, M1
Ware, J1
Pippins, M1
Taylor, C1
Reddy, K1
Lewis, T1
Inder, TE1
Hillegass, WB1
Colton, K2
Yang, S2
Hu, PF2
Chen, HH2
Bonds, B2
Scalea, TM2
Stein, DM2
Stansbury, LG1
Melcer, T1
Walker, J1
Bhatnagar, V1
Richard, E1
Han, P1
Sechriest, V1
Lebedda, M1
Quinn, K1
Galarneau, M1
Bucher, J1
Koyfman, A1
Welch, TP1
Wallendorf, MJ1
Kharasch, ED1
Leonard, JR1
Doctor, A1
Pineda, JA1
Mesa Suárez, P1
Santotoribio, JD1
Ramos Ramos, V1
González García, MÁ1
Pérez Ramos, S1
Portilla Huertas, D1
Muñoz Hoyos, A1
Michetti, CP1
Maguire, JF1
Kaushik, A1
Pullarkat, RR1
Boro, TV1
Rizzo, AG1
Seoudi, H1
Meehan, M1
Robinson, L1
Statler, KD5
Alexander, HL2
Vagni, VA1
Nemoto, EM1
Tofovic, SP1
Dixon, CE4
Jenkins, LW3
Marion, DW2
Kochanek, PM5
Janesko, KL1
Melick, JA1
Clark, RS4
Karabinis, A1
Mandragos, K1
Stergiopoulos, S1
Komnos, A1
Soukup, J1
Speelberg, B1
Kirkham, AJ1
Alexander, H2
Vagni, V2
Jenkins, L2
Holubkov, R1
Miller, P1
Mack, CD1
Sammer, M1
Rozet, I1
Lee, LA1
Muangman, S1
Wang, M1
Hollingworth, W1
Lam, AM1
Vavilala, MS1
Schmittner, MD1
Vajkoczy, SL1
Horn, P1
Bertsch, T1
Quintel, M1
Vajkoczy, P1
Muench, E1
Desbordes, JM1
Maissin, F1
White, PF1
Schlobohm, RM1
Pitts, LH1
Lindauer, JM1
Murr, R3
Berger, S3
Schürer, L3
Peter, K3
Baethmann, A3
Enzenbach, R2
Archer, DP1
Samanani, N1
Kolenda, H1
Gremmelt, A1
Rading, S1
Braun, U1
Markakis, E1
de Nadal, M1
Ausina, A1
Sahuquillo, J1
Pedraza, S1
Garnacho, A1
Gancedo, VA1
Bedell, EA1
DeWitt, DS1
Prough, DS1
Windsor, J1
Varon, AJ1
Warner, DS1
Wisniewski, SR1
Graham, SH1
Safar, PJ1
Masuo, Y1
Wang, H1
Pélaprat, D1
Chi, ZQ1
Rostène, W1
Dabadie, P2
Feuillerat, JP1
Thicoipe, M2
Maurette, P2
Lafforgue, JL1
Castel, JP1
Erny, P1
Brule, JF1
Claverie, JP1
Arseni, C1
Reinhard, T1
Chrzanowski, R1
Kamieniecka, B1
Mańko, E1
Moroz, J1
Regieli, A1
Szaroma, H1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
the Research of Analgesia and Sedation Effect of Remifentanil on ICU Short Operation[NCT02635802]Phase 41,500 participants (Anticipated)Interventional2015-12-31Not yet recruiting
Effect of Dexmedetomidine of Gastrointestinal Motility[NCT04798482]Phase 422 participants (Actual)Interventional2021-09-14Completed
Prospective Study of Induction Medications Used in the Rapid Sequence Intubation of Trauma Patients and a Comparison of Effects on Outcomes[NCT04291521]7,000 participants (Anticipated)Observational2024-01-01Not yet recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

1 review available for fentanyl and Brain Injuries

ArticleYear
Intubation of the Neurologically Injured Patient.
    The Journal of emergency medicine, 2015, Volume: 49, Issue:6

    Topics: Adrenergic beta-1 Receptor Antagonists; Airway Management; Anesthetics, Dissociative; Anesthetics, I

2015

Trials

4 trials available for fentanyl and Brain Injuries

ArticleYear
Safety and efficacy of analgesia-based sedation with remifentanil versus standard hypnotic-based regimens in intensive care unit patients with brain injuries: a randomised, controlled trial [ISRCTN50308308].
    Critical care (London, England), 2004, Volume: 8, Issue:4

    Topics: Adjuvants, Anesthesia; Adolescent; Adult; Aged; Analgesics, Opioid; Brain Injuries; Drug Monitoring;

2004
Effects of fentanyl and S(+)-ketamine on cerebral hemodynamics, gastrointestinal motility, and need of vasopressors in patients with intracranial pathologies: a pilot study.
    Journal of neurosurgical anesthesiology, 2007, Volume: 19, Issue:4

    Topics: Adult; Aged; Analgesics, Opioid; Anesthetics, Dissociative; Brain Injuries; Cerebrovascular Circulat

2007
A randomized study of drugs for preventing increases in intracranial pressure during endotracheal suctioning.
    Anesthesiology, 1982, Volume: 57, Issue:3

    Topics: Brain Injuries; Fentanyl; Humans; Intracranial Pressure; Intubation, Intratracheal; Lidocaine; Rando

1982
Ketamine for analgosedative therapy in intensive care treatment of head-injured patients.
    Acta neurochirurgica, 1996, Volume: 138, Issue:10

    Topics: Adolescent; Adult; Aged; Blood Pressure; Brain Injuries; Conscious Sedation; Critical Care; Dose-Res

1996

Other Studies

26 other studies available for fentanyl and Brain Injuries

ArticleYear
Clinical impact of analgesic-sedative agents and peri-operative clinical status on white matter brain injury in preterm infants following surgical NEC.
    Journal of neonatal-perinatal medicine, 2023, Volume: 16, Issue:3

    Topics: Analgesics; Brain Injuries; Fentanyl; Humans; Hypnotics and Sedatives; Hypotension; Infant; Infant,

2023
Intracranial pressure response after pharmacologic treatment of intracranial hypertension.
    The journal of trauma and acute care surgery, 2014, Volume: 77, Issue:1

    Topics: Adult; Brain Injuries; Critical Care; Documentation; Female; Fentanyl; Humans; Hypnotics and Sedativ

2014
Pharmacologic Treatment Reduces Pressure Times Time Dose and Relative Duration of Intracranial Hypertension.
    Journal of intensive care medicine, 2016, Volume: 31, Issue:4

    Topics: Adult; Barbiturates; Brain Injuries; Dose-Response Relationship, Drug; Female; Fentanyl; Humans; Hyp

2016
Glasgow Coma Scale scores, early opioids, and 4-year psychological outcomes among combat amputees.
    Journal of rehabilitation research and development, 2014, Volume: 51, Issue:5

    Topics: Adult; Afghan Campaign 2001-; Amputation, Surgical; Amputation, Traumatic; Amputees; Analgesics, Opi

2014
Fentanyl and Midazolam Are Ineffective in Reducing Episodic Intracranial Hypertension in Severe Pediatric Traumatic Brain Injury.
    Critical care medicine, 2016, Volume: 44, Issue:4

    Topics: Adolescent; Brain Injuries; Cerebrovascular Circulation; Child; Child, Preschool; Drug Administratio

2016
[Brain damage after general anesthesia].
    Medicina clinica, 2016, May-06, Volume: 146, Issue:9

    Topics: Adolescent; Anesthesia, General; Anesthetics, Inhalation; Anesthetics, Intravenous; Biomarkers; Brai

2016
Single-drug sedation with fentanyl for prehospital postintubation sedation in trauma patients.
    The journal of trauma and acute care surgery, 2012, Volume: 72, Issue:4

    Topics: Adult; Benzodiazepines; Brain Injuries; Conscious Sedation; Emergency Medical Services; Female; Fent

2012
Moderate hypothermia may be detrimental after traumatic brain injury in fentanyl-anesthetized rats.
    Critical care medicine, 2003, Volume: 31, Issue:4

    Topics: Anesthesia, Intravenous; Anesthetics, Intravenous; Animals; Brain; Brain Injuries; Catecholamines; F

2003
Hyperglycolysis is exacerbated after traumatic brain injury with fentanyl vs. isoflurane anesthesia in rats.
    Brain research, 2003, Dec-19, Volume: 994, Issue:1

    Topics: Anesthesia; Animals; Brain Injuries; Fentanyl; Glucose; Glycolysis; Isoflurane; Male; Rats; Rats, Sp

2003
Comparison of seven anesthetic agents on outcome after experimental traumatic brain injury in adult, male rats.
    Journal of neurotrauma, 2006, Volume: 23, Issue:1

    Topics: Anesthetics; Animals; Brain; Brain Injuries; Cell Survival; Cognition Disorders; Diazepam; Disease M

2006
Isoflurane exerts neuroprotective actions at or near the time of severe traumatic brain injury.
    Brain research, 2006, Mar-03, Volume: 1076, Issue:1

    Topics: Anesthetics, Intravenous; Animals; Behavior, Animal; Blood Pressure; Brain Injuries; Cell Count; Dis

2006
The incidence and risk factors for hypotension during emergent decompressive craniotomy in children with traumatic brain injury.
    Anesthesia and analgesia, 2006, Volume: 103, Issue:4

    Topics: Age Factors; Anesthesia, General; Brain Injuries; Child, Preschool; Craniotomy; Female; Fentanyl; Hu

2006
[Areactive bilateral mydriasis and thiopental in neurologic intensive care].
    Annales francaises d'anesthesie et de reanimation, 1984, Volume: 3, Issue:6

    Topics: Brain Injuries; Critical Care; Fentanyl; Humans; Pupil; Thiopental

1984
Influence of isoflurane, fentanyl, thiopental, and alpha-chloralose on formation of brain edema resulting from a focal cryogenic lesion.
    Anesthesia and analgesia, 1995, Volume: 80, Issue:6

    Topics: Anesthetics; Animals; Brain; Brain Edema; Brain Injuries; Cerebrovascular Circulation; Chloralose; F

1995
Effects of isoflurane, fentanyl, or thiopental anesthesia on regional cerebral blood flow and brain surface PO2 in the presence of a focal lesion in rabbits.
    Anesthesia and analgesia, 1993, Volume: 77, Issue:5

    Topics: Anesthetics; Animals; Brain Injuries; Cerebrovascular Circulation; Fentanyl; Isoflurane; Oxygen; Par

1993
The influence of cryogenic brain injury on nociception in the rat.
    Anesthesiology, 1993, Volume: 78, Issue:5

    Topics: Alfentanil; Analgesia; Animals; Blood Pressure; Brain Injuries; Cryosurgery; Fentanyl; Male; Prospec

1993
Effects on intracranial pressure of fentanyl in severe head injured patients.
    Acta neurochirurgica. Supplement, 1998, Volume: 71

    Topics: Adolescent; Adult; Analgesics, Opioid; Blood Pressure; Brain; Brain Injuries; Female; Fentanyl; Home

1998
Fentanyl infusion preserves cerebral blood flow during decreased arterial blood pressure after traumatic brain injury in cats.
    Journal of neurotrauma, 1998, Volume: 15, Issue:11

    Topics: Animals; Blood Gas Analysis; Brain Injuries; Cats; Cerebrovascular Circulation; Electroencephalograp

1998
Fentanyl should be used with caution in patients with severe brain injury.
    The Journal of trauma, 1998, Volume: 45, Issue:6

    Topics: Analgesics, Opioid; Blood Pressure; Brain Injuries; Fentanyl; Humans; Intracranial Pressure

1998
Isoflurane improves long-term neurologic outcome versus fentanyl after traumatic brain injury in rats.
    Journal of neurotrauma, 2000, Volume: 17, Issue:12

    Topics: Analgesics, Opioid; Animals; Brain Injuries; Fentanyl; Intracranial Pressure; Isoflurane; Male; Nerv

2000
Brain surface pO2 and rCBF in rabbits with a focal cerebral lesion and pulmonary hypoxia under fentanyl-, isoflurane- or thiopental-anesthesia.
    Advances in experimental medicine and biology, 1992, Volume: 317

    Topics: Anesthesia, General; Animals; Brain; Brain Injuries; Cerebral Cortex; Fentanyl; Hypoxia; Isoflurane;

1992
Effect of brain lesions on [3H]ohmefentanyl binding site densities in the rat striatum and substantia nigra.
    Chemical & pharmaceutical bulletin, 1992, Volume: 40, Issue:9

    Topics: Animals; Brain Injuries; Corpus Striatum; Enkephalin, Ala(2)-MePhe(4)-Gly(5)-; Enkephalins; Fentanyl

1992
[Significance of intracranial pressure in the care of patients with severe cranial injuries].
    Minerva anestesiologica, 1985, Volume: 51, Issue:10

    Topics: Adolescent; Adult; Aged; Barbiturates; Brain Injuries; Child; Female; Fentanyl; Humans; Intracranial

1985
[Role of early care and cerebral lesions in the mortality of young patients with cranial injuries. Preliminary study concerning 92 deaths].
    Minerva anestesiologica, 1985, Volume: 51, Issue:10

    Topics: Adolescent; Adult; Brain Injuries; Child; Child, Preschool; Coma; Female; Fentanyl; Humans; Infant;

1985
[Neuroleptoanalgesia in neurosurgical patients].
    Chirurgia, 1973, Volume: 22, Issue:12

    Topics: Adolescent; Adult; Aged; Biopsy; Brain; Brain Injuries; Brain Neoplasms; Cerebrovascular Disorders;

1973
Neuroleptanalgesia in cerebral angiography.
    Neuroradiology, 1973, Volume: 5, Issue:2

    Topics: Anesthetics; Benperidol; Bradycardia; Brain Injuries; Butyrophenones; Carotid Artery, Internal; Cere

1973