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  • Precedex safety for sedation and patent expiration in 2019
    This Precedex is ok for a long angio case where you don't need much sedation (0 3-0 5 mcg kg hr) especially knowing that these patients will be hanging in the pacu for a couple hours anyway Main issue at higher infusion rates is prolonged bradycardia hypotension long after sedation and any whiff of analgesia has worn off
  • Small dose precedex on induction? | Student Doctor Network Forums
    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
  • Precedex Bolus- no loading dose. | Page 2 - Student Doctor Network . . .
    precedex is terrible for outpatients Precedex is terrible for most applications, except (preventing) delirium and reducing propofol dose There are better drugs (e g ketamine) Healthcare people always tend to forget that better is the enemy of good and K I S S P S Funny I wrote something similar 5 years ago, at the top of this page
  • Question about opioid and Precedex dosing in peds
    In my experience fentanyl plus generous precedex plus tylenol and a good steroid dose is enough to have them comfortable on emergence Many people go straight to morphine intraop - I just think it slows emergence and isn't per se necessary
  • 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
  • SSEP MEPs with precedex | Student Doctor Network Forums
    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
  • Would the use of Precedex expand the group of non-anesthesiologist from . . .
    The profile of precedex is such that respiratory drive is preserved unlike propofol, fentanyl, ketamine, and midazolam Yet it still provides sedation, hypnosis, and analgesia Would it be fair to speculate that a more generalized use of precedex and the expiration of its patent in 2019
  • Precedex Bolus- no loading dose. | Student Doctor Network Forums
    Precedex eventually wore off, but it took several hours I use it ALL the time Never run infusions (even spine cases) just intermittently bolus Usually will load them up with dexmedetomidine prior to intubation (on the way from preop to or) like 1-2 MCG per kilo Bolus 10-20 mcgs at a time Never ever get hypotension from it
  • Understanding the differences indications for different sedation gtts . . .
    Precedex isn't studied or indicated for long term sedation You may not be able to get someone deep enough when they're paralyzed without adding benzodiazepines You may have a patient with elevated triglycerides and bad ards you need to keep down - or they are really bradycardic or have heart block
  • Lets talk precedex | Student Doctor Network Forums
    Precedex's alternative mechanism of action gives you a way to keep the patient comfortable in a titratable fashion 4 Awake intubations Since it has no respiratory depressing effects as a sole agent for sedation, it has made my patients a lot more comfortable with this trying situation





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