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  • Use of dexmedetomidine in critical-ill patients: is it time to look to . . .
    Commercialized under the name Precedex by Pfizer, it has been used widely across the globe, and it´s still considered to be part of a gold-standard care agent alongside propofol for critically ill patients, patients in the operating room and patients under mechanical ventilation [1]
  • Precedex for labor epidurals and spinals - Student Doctor Network . . .
    Our group is just starting to toy with the idea of using Precedex for these purposes and I am wondering what the experience has been in other practices doing the same? 5 mcg in spinals and 25 mcg in labor epidurals with 0 2% ropi fentanyl 2 mcg per in the infusion The limited exposure we have
  • The effect of dexmedetomidine on vasopressor requirements in patients . . .
    Background Septic shock is associated with decreased vasopressor responsiveness Experimental data suggest that central alpha2-agonists like dexmedetomidine (DEX) increase vasopressor responsiveness and reduce catecholamine requirements in septic shock However, DEX may also cause hypotension and bradycardia Thus, it remains unclear whether DEX is hemodynamically safe or helpful in this
  • Question about opioid and Precedex dosing in peds
    Precedex for rescue in PACU 3 Depends on age and severity of OSA Here too I lean on Benadryl and 05- 1 kg morphine + - precedex If they have had precedex in the OR, midazolam is first for rescue for delirium 4 Fentanyl and toradol Tylenol No toradol? Morphine and Tylenol
  • Any reason why an ICU pt is on precedex rather than propofol?
    A quick google search tells me that precedex doesn't cause respiratory depression or requires the constant attention of propofol and it's good for extubation (but what do I know, I'm just a brownnosing p1) On the other hand, everytime we have a patient on it, I've got to keep on making iv
  • Drug dosing in the critically ill obese patient—a focus on sedation . . .
    Practice guidelines provide clear evidence-based recommendations for the use of drug therapy to manage pain, agitation, and delirium associated with critical illness Dosing recommendations however are often based on strategies used in patients with normal body habitus Recommendations specific to critically ill patients with extreme obesity are lacking Nonetheless, clinicians must craft
  • SSEP MEPs with precedex | Student Doctor Network
    I have seen sparse literature, mainly saying precedex does not lower amplitude of signals during monitoring but if anything lowering MEPs only Anyone being told by NM folks not to use this drug during spine cases with neuromonitoring? I feel like the benefit of lower pain scores post op make
  • Small dose precedex on induction? | Student Doctor Network
    The place I'm currently doing locums at many of the MDs and crnas give a small dose (16-24) of precedex on induction No infusion, for short and long cases I use precedex for infusions for TIVAs, wakeups in drug addicts or people who look like they're going to be bucking broncos I think it's


















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