Sedation in Regional Anesthesia - Propofol vs Dexmedetomidine?
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- čas přidán 7. 09. 2024
- This is an excerpt of a lecture presented at the 2023 RA-UK Annual Meeting in Newcastle-upon-Tyne, UK, on the "The 3 Top Papers of the Past Year". This paper by Shin et al (pubmed.ncbi.nl...) serves as a jumping-off point to stimulate thought around the optimal way to sedate patients receiving a spinal anesthetic or peripheral nerve block for surgical anesthesia.
Dexmedetomidine is without significant bradycardia and hypotension if you use only loading dose especially when surgical duration is less than 2 hours.
Love them both! Dexmedetimidine - only as a slow bolus to avoid hypotension and bradycardia. And Dexmed allows to run way lower doses of Propofol infusion. I don’t like Midaz, especially in the elderly