The Efficacy of Dexmedetomidine in Patients with Noninvasive Ventilation: A Preliminary Study

Shinji Akada, Shinhiro Takeda, Yuko Yoshida, Keiko Nakazato, Masaki Mori, Takashi Hongo, Keiji Tanaka, Atsuhiro Sakamoto

Anesthesia & Analgesia · 2008 · 101 citations · 12 references

Concepts

Abstract

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.

References

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