The Use of Dexmedetomidine for Sedation in the Pediatric Intensive Care Unit

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dc.contributor.author Moritz, Sarah
dc.contributor.author Heitzman, Kari
dc.contributor.author DeVore, Kelli
dc.contributor.author Walker, Judy
dc.date.accessioned 2009-06-24T13:37:28Z
dc.date.available 2009-06-24T13:37:28Z
dc.date.issued 2009-06-24T13:37:28Z
dc.identifier.uri http://hdl.handle.net/2092/960
dc.description Advisor: Geoff Wall of Iowa Methodist Medical Center en_US
dc.description.abstract Dexmedetomidine is a centrally acting alpha2-adrenergic agonist that provides sedation with minimal respiratory depression. The medication's targeted activation of alpha2-receptors mediates its sedative, anxiolytic, and analgesic effects. Although dexmedetomidine is approved only for sedation in adults, it is currently being used off-label as an adjunctive agent in pediatric patients for sedation and analgesia in the critical care unit and for sedation during non-invasive procedures in radiology. Despite the lack of large randomized controlled trials, available literature and case studies suggest dexmedetomidine may be an effective alternative or adjunctive sedative in pediatric patients. The purpose of this study is to evaluate the use of dexmedetomidine in the Pediatric Intensive Care Unit (PICU) at Blank Children's Hospital (BCH) by assessing safety, efficacy, dosing, and duration of dexmedetomidine courses in mechanically ventilated infants and children. The study will also assess length of stay, time on the ventilator, extubation while receiving dexmedetomidine infusion, and necessity for use of other sedative and narcotic infusions. These objectives will be assessed through retrospective chart review of all patients who received dexmedetomidine while in the PICU between March 2007 and January 2009. Analysis will include descriptive statistics on the data obtained. The results will add to the small volume of existing evidence regarding dexmedetomidine's use in the pediatric population. en_US
dc.description.sponsorship Drake University, College of Pharmacy and Health Sciences ; Iowa Methodist Medical Center en_US
dc.language.iso en_US en_US
dc.relation.ispartofseries DUCURS 2009;24
dc.subject Pediatric intensive care en_US
dc.subject Analgesia--Children en_US
dc.subject Anesthesia--Children en_US
dc.subject Respiratory insufficiency en_US
dc.title The Use of Dexmedetomidine for Sedation in the Pediatric Intensive Care Unit en_US
dc.type Presentation en_US


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  • DUCURS [196]
    Poster sessions and presentation from the Drake University Conference on Undergraduate Research in the Sciences held each April at Olmsted Center on the Drake campus.

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