Template:Sedative agents: Difference between revisions

Line 25: Line 25:
* Beware of laryngospasm (3 syringe method)
* Beware of laryngospasm (3 syringe method)


===Dexmedetomidine===
===[[Dexmedetomidine]]===
''Brand Name: Precedex''<ref>http://www.precedex.com/wp-content/uploads/2010/02/Procedural-Sedation-dosing-Card.pdf</ref>
*Dose 0.5 - 1 mcg/kg initial bolus
*Infusion 0.2mcg - 0.6mcg/kg for procedure
*Provides analgesia and anesthesia
*Hemodynamically neutral medication
*Apnea risk as with propofol

Revision as of 17:09, 19 June 2015

Sedative agents

Fentanyl/Versed

  • Designed for moderate sedation
    • If titrate to deep sedation, when painful stimulus stops may become apneic
  • Duration = 30min

Etomidate/Fentanyl

  • Similar to versed/fentanyl but better b/c of shorter duration of action
  • Good for brief sedation if don't have access to propofol
    • E.g. shoulder/hip reduction, cardioversion
  • Dose fentanyl first: 0.5-1mcg/kg
  • Etomidate 0.15mg/kg (8-10mg avg)
    • Wears off in 6min

Propofol

Ketamine

Ketofol

Brevital

  • Dose 1-1.5 mg/kg
  • Onset < 1 minute; Duration 10 minutes
  • No analgesic effect
  • Beware of laryngospasm (3 syringe method)

Dexmedetomidine