Anesthesia & Analgesia · 2008 · 101 citations · 12 references
MedicinePharmacologyPharmacotherapyCritical Care PharmacologyCritical Care PharmacotherapyIntravenous SedationSedation In Neurocritical CareSedation In Ventilated PatientsSedative PharmacologyDexmedetomidine AnalgesiaDexmedetomidine PharmacologyNoninvasive Ventilation CareRichmond Agitation-sedation ScaleSedation During Mechanical VentilationSedation For Agitated PatientsSedative Drug Mechanisms
In Brief BACKGROUND: Agitation is associated with failure of noninvasive ventilation (NIV). We investigated the effect of dexmedetomidine in patients with NIV. METHODS: This was a prospective clinical investigation in an intensive care unit. Dexmedetomidine was infused in 10 patients in whom NIV was difficult because of agitation. RESULTS: Ramsay and Richmond Agitation-Sedation Scale scores were maintained at 2.94 ± 0.94 and −1.23 ± 1.30, respectively. All patients were successfully weaned from NIV, and the respiratory state was not worsened. CONCLUSION: This study shows that dexmedetomidine is an effective sedative drug for patients with NIV. IMPLICATIONS: Dexmedetomidine is an effective sedative drug for patients in whom noninvasive ventilation is difficult because of agitation.
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Curtis N. Sessler, Mark S. Gosnell, Mary Jo Grap et al. · American Journal of Respiratory and Critical Care Medicine · 2002 · 3.7K citations
Nursing, Critical Care Nursing, Critical Care Pharmacotherapy +12
Controlled Sedation with Alphaxalone-Alphadolone
Michael A. E. Ramsay, T.M. Savege, B. R. Simpson et al. · BMJ · 1974 · 2.9K citations · Full text
The Effects of Increasing Plasma Concentrations of Dexmedetomidine in Humans
Thomas J. Ebert, Judith Hall, Jill A. Barney et al. · Anesthesiology · 2000 · 1.4K citations · Full text