Treating agitation with dexmedetomidine in the ICU.
نویسنده
چکیده
Patients in the intensive care unit frequently experience delirium, anxiety, and agitation, with a variety of treatments used. This article discusses the role of an alpha-adrenoceptor agonist, dexmedetomidine, and its clinical relevance and advantages for the agitated patient.
منابع مشابه
Dexmedetomidine: therapeutic efficacy in adult patients of the intensive care unit
Optimal management of sedation, pain, agitation, and delirium in intensive care unit (ICU) involves systematic and multimodal approaches to provide comfort and safety. As one of the most widely used alpha 2-adrenergic receptor agonists, dexmedetomidine has become more and more popular for sedation and agitation in critically ill adult patients. The sedative, analgesic and opioid-sparing effects...
متن کاملDexmedetomidine for the Treatment of Hyperactive Delirium Refractory to Haloperidol in Nonintubated ICU Patients: A Nonrandomized Controlled Trial.
OBJECTIVES To evaluate the clinical effectiveness, safety, and cost of dexmedetomidine for the treatment of agitated delirium refractory to haloperidol in nonintubated critically ill patients. DESIGN Nonrandomized, controlled trial. SETTING Intensive care department of a tertiary care nonprofit hospital. PATIENTS All consecutive admissions to a medical-surgical ICU with a diagnosis of agi...
متن کاملInterpatient Variability in Dexmedetomidine Response: A Survey of the Literature
Fifty-five thousand patients are cared for in the intensive care unit (ICU) daily with sedation utilized to reduce anxiety and agitation while optimizing comfort. The Society of Critical Care Medicine (SCCM) released updated guidelines for management of pain, agitation, and delirium in the ICU and recommended nonbenzodiazepines, such as dexmedetomidine and propofol, as first line sedation agent...
متن کاملOff-Label Use of Dexmedetomidine for the Treatment of Delirium in the Intensive Care Unit.
OBJECTIVE Evaluate recent clinical studies involving the use of dexmedetomidine (DEX) infusion for the treatment of delirium in the intensive care unit (ICU). METHODS A literature search was conducted to identify peer-reviewed articles in MEDLINE (1966-June 2016) using the terms sedation, analgesic, dexmedetomidine, delirium, and critically ill adult patients. RESULTS Two studies in the ICU...
متن کاملUpdate on Sedation in the Critical Care Unit
Recognition and treatment of pain, agitation and anxiety is a challenge in the care of Intensive Care Unit (ICU) patients. Management of pain, agitation and anxiety is necessary for patient comfort, and reduces long term psychological sequelae of ICU admission, time on mechanical ventilation, and length of stay in both the ICU and hospital. ICU providers must be very familiar with the pharmacol...
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ورودعنوان ژورنال:
- Dimensions of critical care nursing : DCCN
دوره 28 3 شماره
صفحات -
تاریخ انتشار 2009