Sedation in Regional Anesthesia - Propofol vs Dexmedetomidine?

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.

[@hetalvadera]

Dexmedetomidine is without significant bradycardia and hypotension if you use only loading dose especially when surgical duration is less than 2 hours.

[@waiki8223]

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