Cover image of the article: Evaluation of the Neuroprotective Effect of Thiopental and Its Effect on Serum NSE Level in Neurocritical Care Patients

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Evaluation of the Neuroprotective Effect of Thiopental and Its Effect on Serum NSE Level in Neurocritical Care Patients

Authors

Sara SalarianSara Salarian ORCID1,*, Mohammad Sistanizad2, SeyedBashir MirtajaniSeyedBashir Mirtajani ORCID3, Mir Mohammad Miri4, Mehran KouchekMehran Kouchek ORCID5
1Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2Department of Clinical Pharmacy, Faculty of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran. & Prevention of Cardiovascular Disease Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4Associate Professor, Fellowship of Critical Care Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5Anesthesiology and Critical Care Medicine Department, School of Medicine, Imam Hossein A.S. Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
*Corresponding Author: Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Email: sarasalarian@yahoo.com

Journal of Cellular & Molecular Anesthesia:Vol. 8, issue 2; e150199
Published online:Jun 30, 2023
Article type:Brief Communications
How to Cite:Salarian S, Sistanizad M, Mirtajani S, Miri MM, Kouchek M. Evaluation of the Neuroprotective Effect of Thiopental and Its Effect on Serum NSE Level in Neurocritical Care Patients. J Cell Mol Anesth. 2023;8(2):e150199. doi: https://doi.org/10.22037/jcma.v8i2.37916

Abstract

Background: This study aimed to evaluate the neuroprotective effect of thiopental and its effect on serum NSE levels in neurocritical care patients. Materials and Methods: Patients were divided into two groups (intervention and control). Thiopental administration as the intervention was started at a dose of 3-6 mg/Kg every 30 minutes and continued until 0.3-3 mg/Kg/hour. Sedation with fentanyl and midazolam as control was also performed in 35 patients. After three days, thiopental was discontinued. On the fifth day, the desired indicators were compared between the two groups. Results: On the third and fifth days, patients in the intervention group had a greater drop in serum NSE levels (P<0.05). Conclusion: The use of thiopental in patients undergoing neurosurgery transferred to the ICU can significantly reduce the NSE of these patients.

Highlights

Copyright

© 2023, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

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