[Indications of dexmedetomidine in the current sedoanalgesia tendencies in critical patients]. / Indicaciones de la dexmedetomidina en las tendencias actuales de sedoanalgesia en el paciente crítico.
Med Intensiva
; 38(1): 41-8, 2014.
Article
in Es
| MEDLINE
| ID: mdl-23683866
ABSTRACT
Recently, dexmedetomidine has been marketed in Spain and other European countries. The published experience regarding its use has placed dexmedetomidine on current trends in sedo-analgesic strategies in the adult critically ill patient. Dexmedetomidine has sedative and analgesic properties, without respiratory depressant effects, inducing a degree of depth of sedation in which the patient can open its eyes to verbal stimulation, obey simple commands and cooperate in nursing care. It is therefore a very useful drug in patients who can be maintained on mechanical ventilation with these levels of sedation avoiding the deleterious effects of over or infrasedation. Because of its effects on α2-receptors, it's very useful for the control and prevention of tolerance and withdrawal to other sedatives and psychotropic drugs. The use of dexmedetomidine has been associated with lower incidence of delirium when compared with other sedatives. Moreover, it's a potentially useful drug for sedation of patients in non-invasive ventilation.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Conscious Sedation
/
Critical Illness
/
Dexmedetomidine
/
Deep Sedation
/
Analgesia
/
Analgesics
/
Hypnotics and Sedatives
Limits:
Humans
Language:
Es
Journal:
Med Intensiva
Year:
2014
Type:
Article