Template:Sedative agents

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

Brevital

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