Page last updated: 2024-11-02

pentobarbital and Elevated ICP (Intracranial Pressure)

pentobarbital has been researched along with Elevated ICP (Intracranial Pressure) in 18 studies

Pentobarbital: A short-acting barbiturate that is effective as a sedative and hypnotic (but not as an anti-anxiety) agent and is usually given orally. It is prescribed more frequently for sleep induction than for sedation but, like similar agents, may lose its effectiveness by the second week of continued administration. (From AMA Drug Evaluations Annual, 1994, p236)
pentobarbital : A member of the class of barbiturates, the structure of which is that of barbituric acid substituted at C-5 by ethyl and sec-pentyl groups.

Research Excerpts

ExcerptRelevanceReference
" The objectives of the present study were to assess the effectiveness of pentobarbital and thiopental in terms of controlling refractory intracranial hypertension in patients with severe traumatic brain injury, and to evaluate the adverse effects of treatment."9.13Pentobarbital versus thiopental in the treatment of refractory intracranial hypertension in patients with traumatic brain injury: a randomized controlled trial. ( Abadal, JM; Brell, M; Frontera, G; Homar, J; Ibáñez, J; Llompart-Pou, JA; Pérez-Bárcena, J; Raurich, JM, 2008)
"These preliminary results indicate that thiopental could be more effective than pentobarbital in patients with refractory intracranial hypertension."9.11[Comparison of the effectiveness of pentobarbital and thiopental in patients with refractory intracranial hypertension. Preliminary report of 20 patients]. ( Abadal, JM; Barceló, B; de la Peña, A; Homar, J; Ibáñez, J; Molina, FJ; Pérez-Bárcena, J; Sahuquillo, J, 2005)
" Pentobarbital coma is often instituted following the failure of osmotic interventions and sedation to control intracranial pressure (ICP)."8.31Pentobarbital coma for management of intracranial hypertension following traumatic brain injury: Lack of early response to treatment portends poor outcomes. ( Bonnin, SS; Chapple, KM; Huang, DD; Kelley, CJ; Rudy, RF; Snyder, LA; Stansbury, BM; Weinberg, JA, 2023)
"To identify predictors of mortality and long-term outcomes in survivors after pentobarbital coma (PBC) in patients failing current treatment standards for severe traumatic brain injuries (TBI)."7.76Pentobarbital coma for refractory intra-cranial hypertension after severe traumatic brain injury: mortality predictions and one-year outcomes in 55 patients. ( Cotton, BA; Hansen, EN; James, RF; Landman, MP; Marshall, GT; May, AK; Morris, JA; O'Neill, PJ, 2010)
"Pentobarbital sodium coma is a second-tier treatment that can be used to treat RICH."6.42Pentobarbital sodium coma for refractory intracranial hypertension. ( Censullo, JL; Sebastian, S, 2003)
"Propylene glycol is a rarely reported toxicity from high-dose administration of certain intravenous drugs, including lorazepam and pentobarbital."5.56Iatrogenic Propylene Glycol Intoxication Due to High-Dose Pentobarbital for Refractory Intracranial Hypertension: A Case Report. ( Barthol, CA; Garvin, RE; Rios, D; Smedley, LW, 2020)
" The objectives of the present study were to assess the effectiveness of pentobarbital and thiopental in terms of controlling refractory intracranial hypertension in patients with severe traumatic brain injury, and to evaluate the adverse effects of treatment."5.13Pentobarbital versus thiopental in the treatment of refractory intracranial hypertension in patients with traumatic brain injury: a randomized controlled trial. ( Abadal, JM; Brell, M; Frontera, G; Homar, J; Ibáñez, J; Llompart-Pou, JA; Pérez-Bárcena, J; Raurich, JM, 2008)
"These preliminary results indicate that thiopental could be more effective than pentobarbital in patients with refractory intracranial hypertension."5.11[Comparison of the effectiveness of pentobarbital and thiopental in patients with refractory intracranial hypertension. Preliminary report of 20 patients]. ( Abadal, JM; Barceló, B; de la Peña, A; Homar, J; Ibáñez, J; Molina, FJ; Pérez-Bárcena, J; Sahuquillo, J, 2005)
" Pentobarbital coma is often instituted following the failure of osmotic interventions and sedation to control intracranial pressure (ICP)."4.31Pentobarbital coma for management of intracranial hypertension following traumatic brain injury: Lack of early response to treatment portends poor outcomes. ( Bonnin, SS; Chapple, KM; Huang, DD; Kelley, CJ; Rudy, RF; Snyder, LA; Stansbury, BM; Weinberg, JA, 2023)
"To identify predictors of mortality and long-term outcomes in survivors after pentobarbital coma (PBC) in patients failing current treatment standards for severe traumatic brain injuries (TBI)."3.76Pentobarbital coma for refractory intra-cranial hypertension after severe traumatic brain injury: mortality predictions and one-year outcomes in 55 patients. ( Cotton, BA; Hansen, EN; James, RF; Landman, MP; Marshall, GT; May, AK; Morris, JA; O'Neill, PJ, 2010)
"Pentobarbital sodium coma is a second-tier treatment that can be used to treat RICH."2.42Pentobarbital sodium coma for refractory intracranial hypertension. ( Censullo, JL; Sebastian, S, 2003)
"Propylene glycol is a rarely reported toxicity from high-dose administration of certain intravenous drugs, including lorazepam and pentobarbital."1.56Iatrogenic Propylene Glycol Intoxication Due to High-Dose Pentobarbital for Refractory Intracranial Hypertension: A Case Report. ( Barthol, CA; Garvin, RE; Rios, D; Smedley, LW, 2020)
"Fentanyl was significantly associated with the most frequent treatment failure."1.43Effectiveness of Pharmacological Therapies for Intracranial Hypertension in Children With Severe Traumatic Brain Injury--Results From an Automated Data Collection System Time-Synched to Drug Administration. ( Balasubramani, GK; Bayir, H; Bell, MJ; Clark, RS; Ferguson, NM; Fink, EL; Kochanek, PM; Shein, SL; Tian, Y; Tyler-Kabara, EC; Wisniewski, SR, 2016)
"No patient died from isolated cerebral edema."1.35Results of a protocol for the management of patients with fulminant liver failure. ( Curry, SC; Gerkin, R; Leibowitz, AI; Little, E; Manch, R; Ramos, A; Raschke, RA; Rempe, S; Wong, M, 2008)
"The diagnosis of brain death and the implications of pentobarbital intoxication during a brain death examination are discussed."1.35Head injuries, pentobarbital, and the determination of death. ( McCutcheon, JR; Molina, DK; Rulon, JJ, 2009)
"Pentobarbital doses were titrated based on the raw EEG to attain a burst-suppression pattern with a goal of 3-5 bursts/minute."1.32Comparing the bispectral index and suppression ratio with burst suppression of the electroencephalogram during pentobarbital infusions in adult intensive care patients. ( Fraser, GL; Riker, RR; Wilkins, ML, 2003)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's6 (33.33)29.6817
2010's10 (55.56)24.3611
2020's2 (11.11)2.80

Authors

AuthorsStudies
Stansbury, BM1
Kelley, CJ1
Rudy, RF1
Bonnin, SS1
Chapple, KM1
Snyder, LA1
Weinberg, JA1
Huang, DD1
Smedley, LW1
Rios, D1
Barthol, CA1
Garvin, RE1
Shore, PM1
Mansour, N1
deSouza, RM1
Sikorski, C1
Kahana, M1
Frim, D1
Wakai, A1
McCabe, A1
Roberts, I1
Schierhout, G1
Shein, SL1
Ferguson, NM1
Kochanek, PM1
Bayir, H1
Clark, RS1
Fink, EL1
Tyler-Kabara, EC1
Wisniewski, SR1
Tian, Y1
Balasubramani, GK1
Bell, MJ1
Connolly, M2
Liou, R1
Vespa, P2
Hu, X2
Raschke, RA1
Curry, SC1
Rempe, S1
Gerkin, R1
Little, E1
Manch, R1
Wong, M1
Ramos, A1
Leibowitz, AI1
Pérez-Bárcena, J2
Llompart-Pou, JA1
Homar, J2
Abadal, JM2
Raurich, JM1
Frontera, G1
Brell, M1
Ibáñez, J3
Molina, DK1
McCutcheon, JR1
Rulon, JJ1
Marshall, GT1
James, RF1
Landman, MP1
O'Neill, PJ1
Cotton, BA1
Hansen, EN1
Morris, JA1
May, AK1
Kontogiorgi, M1
Opsimoulis, P1
Diamanti-Kandarakis, E1
Karabinis, A1
Rodríguez-Boto, G1
Rivero-Garvía, M1
Márquez-Rivas, J1
Mellion, SA1
Bennett, KS1
Ellsworth, GL1
Moore, K1
Riva-Cambrin, J1
Metzger, RR1
Bratton, SL1
Riker, RR1
Fraser, GL1
Wilkins, ML1
Censullo, JL1
Sebastian, S1
Barceló, B1
Molina, FJ1
de la Peña, A1
Sahuquillo, J1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Comparison of Effectiveness of Pentobarbital and Thiopental in Patients With Refractory Intracranial Hypertension.[NCT00622570]Phase 344 participants (Actual)Interventional2002-05-31Terminated (stopped due to Slowly recruitment rate. Intermediate analysis)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

3 reviews available for pentobarbital and Elevated ICP (Intracranial Pressure)

ArticleYear
Mannitol for acute traumatic brain injury.
    The Cochrane database of systematic reviews, 2013, Aug-05, Issue:8

    Topics: Acute Disease; Brain Injuries; Diuretics, Osmotic; Humans; Intracranial Hypertension; Intracranial P

2013
[Intracranial hypertension].
    Medicina clinica, 2012, Sep-08, Volume: 139, Issue:6

    Topics: Decompressive Craniectomy; Humans; Hypothermia, Induced; Intracranial Hypertension; Neuroprotective

2012
Pentobarbital sodium coma for refractory intracranial hypertension.
    The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses, 2003, Volume: 35, Issue:5

    Topics: Critical Care; Disease Progression; Drug Monitoring; Electroencephalography; Humans; Hypnotics and S

2003

Trials

2 trials available for pentobarbital and Elevated ICP (Intracranial Pressure)

ArticleYear
Pentobarbital versus thiopental in the treatment of refractory intracranial hypertension in patients with traumatic brain injury: a randomized controlled trial.
    Critical care (London, England), 2008, Volume: 12, Issue:4

    Topics: Adolescent; Adult; Aged; Brain Injuries; Cohort Studies; Female; Humans; Intracranial Hypertension;

2008
[Comparison of the effectiveness of pentobarbital and thiopental in patients with refractory intracranial hypertension. Preliminary report of 20 patients].
    Neurocirugia (Asturias, Spain), 2005, Volume: 16, Issue:1

    Topics: Adult; Cohort Studies; Female; GABA Modulators; Humans; Intracranial Hypertension; Male; Pentobarbit

2005

Other Studies

13 other studies available for pentobarbital and Elevated ICP (Intracranial Pressure)

ArticleYear
Pentobarbital coma for management of intracranial hypertension following traumatic brain injury: Lack of early response to treatment portends poor outcomes.
    American journal of surgery, 2023, Volume: 226, Issue:6

    Topics: Adult; Brain Injuries; Brain Injuries, Traumatic; Coma; Female; Glasgow Coma Scale; Humans; Intracra

2023
Iatrogenic Propylene Glycol Intoxication Due to High-Dose Pentobarbital for Refractory Intracranial Hypertension: A Case Report.
    Journal of pharmacy practice, 2020, Volume: 33, Issue:6

    Topics: Humans; Iatrogenic Disease; Infusions, Intravenous; Intracranial Hypertension; Pentobarbital; Propyl

2020
Pentobarbital for refractory intracranial hypertension: time to "go retro"?
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2013, Volume: 14, Issue:3

    Topics: Brain Injuries; Female; GABA Modulators; Humans; Intracranial Hypertension; Male; Pentobarbital

2013
Role of barbiturate coma in the management of focally induced, severe cerebral edema in children.
    Journal of neurosurgery. Pediatrics, 2013, Volume: 12, Issue:1

    Topics: Brain Edema; Brain Neoplasms; Cerebral Hemorrhage; Child; Child, Preschool; Coma; Drug Administratio

2013
Effectiveness of Pharmacological Therapies for Intracranial Hypertension in Children With Severe Traumatic Brain Injury--Results From an Automated Data Collection System Time-Synched to Drug Administration.
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2016, Volume: 17, Issue:3

    Topics: Adolescent; Antihypertensive Agents; Brain Injuries, Traumatic; Cerebrovascular Circulation; Child;

2016
Identification of an Intracranial Pressure (ICP) Response Function from Continuously Acquired Electroencephalographic and ICP Signals in Burst-Suppressed Patients.
    Acta neurochirurgica. Supplement, 2016, Volume: 122

    Topics: Adult; Aneurysm, Ruptured; Brain Injuries, Traumatic; Brain Waves; Electroencephalography; Female; G

2016
Characterization of Cerebral Vascular Response to EEG Bursts Using ICP Pulse Waveform Template Matching.
    Acta neurochirurgica. Supplement, 2016, Volume: 122

    Topics: Adult; Aneurysm, Ruptured; Brain Injuries, Traumatic; Brain Waves; Cerebrovascular Circulation; Elec

2016
Results of a protocol for the management of patients with fulminant liver failure.
    Critical care medicine, 2008, Volume: 36, Issue:8

    Topics: Adolescent; Adult; Brain Edema; Female; Hemostatics; Hospital Mortality; Humans; Hypnotics and Sedat

2008
Head injuries, pentobarbital, and the determination of death.
    The American journal of forensic medicine and pathology, 2009, Volume: 30, Issue:1

    Topics: Accidents, Traffic; Adolescent; Adult; Brain Death; Coma; Female; Forensic Pathology; Head Injuries,

2009
Pentobarbital coma for refractory intra-cranial hypertension after severe traumatic brain injury: mortality predictions and one-year outcomes in 55 patients.
    The Journal of trauma, 2010, Volume: 69, Issue:2

    Topics: Adolescent; Adult; Brain Injuries; Child; Child, Preschool; Cohort Studies; Coma; Confidence Interva

2010
Cerebral salt wasting syndrome in traumatic brain injury following therapeutic barbiturate coma.
    Acta neurochirurgica, 2011, Volume: 153, Issue:8

    Topics: Brain Injuries; Coma; Humans; Hypnotics and Sedatives; Hyponatremia; Inappropriate ADH Syndrome; Int

2011
High-dose barbiturates for refractory intracranial hypertension in children with severe traumatic brain injury.
    Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2013, Volume: 14, Issue:3

    Topics: Adolescent; Brain Injuries; Child; Child, Preschool; Drug Administration Schedule; Drug Monitoring;

2013
Comparing the bispectral index and suppression ratio with burst suppression of the electroencephalogram during pentobarbital infusions in adult intensive care patients.
    Pharmacotherapy, 2003, Volume: 23, Issue:9

    Topics: Adult; Cohort Studies; Electroencephalography; Humans; Infusions, Intravenous; Inpatients; Intensive

2003