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1 ing alpha2 adrenergic receptor (AR) agonist (dexmedetomidine).
2 3.0 +/- 0.2 to 19.1 +/- 0.8 Hz (20 microg/kg dexmedetomidine).
3 is needed to evaluate the clinical impact of dexmedetomidine.
4 edications such as midazolam, clonidine, and dexmedetomidine.
5 More adverse effects were associated with dexmedetomidine.
6 nes (midazolam and lorazepam), propofol, and dexmedetomidine.
7 ewer agents such as etomidate, propofol, and dexmedetomidine.
8 w update in the diverse uses of the sedative dexmedetomidine.
9 es, mechanism of action, and side effects of dexmedetomidine.
10 anagement include clonidine, tizanidine, and dexmedetomidine.
11 ay, intraoperative steroid bolus, and use of dexmedetomidine.
12 pamezole, reversed the functional effects of dexmedetomidine.
13 onferred by known alpha(2A)AR drugs, such as dexmedetomidine.
14 ofol, and time to recovery was shortest with dexmedetomidine.
15 ness and recovery using the alpha(2)-agonist dexmedetomidine.
16 ssign patients to receive either intravenous dexmedetomidine (0.1 mug/kg per h, from intensive care u
17 lly ventilated adults with sepsis to receive dexmedetomidine (0.2 to 1.5 ug per kilogram of body weig
19 otocol with lorazepam and were randomized to dexmedetomidine 1.2 mug/kg/hr (high dose), 0.4 mug/kg/hr
20 e biological activity of the present series, dexmedetomidine (1), and conformationally restrained ana
22 e, and after subsequent injection of saline, dexmedetomidine (100 mug/kg IV), or clonidine (200 mug/k
24 atment with a sublingual film formulation of dexmedetomidine 120 mug or 180 mug, compared with placeb
25 mechanical ventilation appeared shorter with dexmedetomidine (123 hours [IQR, 67-337]) vs midazolam (
26 ylephrine (-25 +/- 4 versus -45 +/- 5%), and dexmedetomidine (-22 +/- 4 versus -44 +/- 3%) were all s
27 14%] of 350 patients) than in patients given dexmedetomidine (23 [7%] of 350 patients; 0.44, 0.26-0.7
28 mic administration of the alpha2-AR agonists dexmedetomidine (25 mug/kg, i.v.) and clonidine (100 mug
29 placebo (62 [18%] of 350 patients) than with dexmedetomidine (34 [10%] of 350 patients; 0.50, 0.32-0.
30 urred in 35.7% of patients taking 180 mug of dexmedetomidine, 34.9% taking 120 mug, and 17.5% taking
32 4 hours [IQR, 92-380]; P = .03) but not with dexmedetomidine (97 hours [IQR, 45-257]) vs propofol (11
34 e investigated whether prophylactic low-dose dexmedetomidine, a highly selective alpha2 adrenoceptor
41 ry hypothesis tested was that intraoperative dexmedetomidine administration would reduce postoperativ
42 lly the same for natural sleep and following dexmedetomidine administration, but a sudden change in p
43 pared the effects of select survival agents (dexmedetomidine, alfaxalone, and propofol) on urodynamic
45 ions of phenylephrine (alpha(1)-agonist) and dexmedetomidine (alpha(2)-agonist) during moderate rhyth
46 ions of phenylephrine (alpha(1)-agonist) and dexmedetomidine (alpha(2)-agonist) during rhythmic handg
56 illation was 121 (30%) in 397 patients given dexmedetomidine and 134 (34%) in 395 patients given plac
65 This investigation compared the actions of dexmedetomidine and halothane on the processed EEG and o
68 erence in postoperative delirium between the dexmedetomidine and placebo groups (12.2% [23 of 189] vs
70 ups (46% and 45%) and 7 in the acetaminophen-dexmedetomidine and placebo-propofol groups (24% and 23%
72 ns: In patients 65 years of age sedated with dexmedetomidine and propofol combination, preferentially
75 ess (LOC) with the alpha2-adrenergic agonist dexmedetomidine and return of consciousness (ROC) in a f
76 A conjunction analysis across the propofol, dexmedetomidine and sevoflurane groups confirmed the tha
77 duced with alpha2-adrenergic agonists (e.g., dexmedetomidine) and sleep homeostasis both depend on th
78 9.6 +/- 0.7 to 5.9 +/- 0.8 Hz (20 microg/kg dexmedetomidine), and 95% power frequency from 23.0 +/-
79 outcomes, none were significantly worse with dexmedetomidine, and several showed statistically signif
80 iprostate cancer drug bicalutamide, sedative dexmedetomidine, and two antifungals ravuconazole and po
83 longer than the next calendar day to receive dexmedetomidine as the sole or primary sedative or to re
85 d to early goal-directed sedation received a dexmedetomidine-based algorithm targeted to light sedati
86 urgery population has also been studied with dexmedetomidine because of its adequate sedation and les
87 Monitoring for bradycardia is needed with dexmedetomidine but the occurrence may be lessened with
91 alysis with a 6-month time horizon comparing dexmedetomidine-, clonidine-, and propofol-based IV seda
92 etamine during anesthetic induction and with dexmedetomidine compared with other sedation strategies
93 , smaller DeltaHR, decreased reflexes) under dexmedetomidine, compared to propofol and alfaxalone.
95 l hypothesis that central sympatholysis with dexmedetomidine constitutes a highly effective counterme
96 enable self-administration, we suggest that dexmedetomidine could serve as a sedative-hypnotic drug
99 by the Valsalva manoeuvre were lower during dexmedetomidine (Delta 2 +/- 1 to Delta 0 +/- 2 AP clust
100 ared with 1125 controls, the group receiving dexmedetomidine demonstrated significantly fewer tachyar
107 itional analgesics in PCA were replaced with dexmedetomidine (Dex), an alpha-2 agonist widely used fo
109 pproaches, outcomes in patients who received dexmedetomidine did not differ from outcomes in those wh
110 rtheless, these reports indicate that use of dexmedetomidine does not interfere with electrophysiolog
113 rine and the highly selective alpha2 agonist dexmedetomidine each reversed the VLPO depolarization in
115 ction (measured using VAS) was improved with dexmedetomidine (estimated score difference vs midazolam
116 uch more common than with benzodiazepines or dexmedetomidine, even for patients mechanically ventilat
122 ilation in the ICU, those who received early dexmedetomidine for sedation had a rate of death at 90 d
123 Anesthesiologists are evaluating the use of dexmedetomidine for sedation of children and new reports
126 tive delirium was significantly lower in the dexmedetomidine group (32 [9%] of 350 patients) than in
128 ized incorrectly, leaving 39 patients in the dexmedetomidine group and 32 patients in the placebo gro
129 event occurred in 566 of 1948 (29.1%) in the dexmedetomidine group and in 569 of 1956 (29.1%) in the
130 versus before study drug was greater in the dexmedetomidine group compared with the placebo group (-
131 rate adjustments occurred more often in the dexmedetomidine group compared with the placebo group (5
132 nd low-dose groups were combined as a single dexmedetomidine group for primary analysis with secondar
133 rescribed level of sedation, patients in the dexmedetomidine group received supplemental propofol (64
135 Bradycardia occurred more frequently in the dexmedetomidine group versus placebo group (25% vs 0%, p
136 e 12-month time to death was 363 days in the dexmedetomidine group vs 188 days in the lorazepam group
137 time within the target RASS range (77.3% for dexmedetomidine group vs 75.1% for midazolam group; diff
148 fol, mortality was similar over 180 days for dexmedetomidine (HR, 0.98 [95% CI, 0.77-1.24]) and cloni
149 on of, the loss of righting reflex following dexmedetomidine; hypnotic response had normalized 8 d af
150 ies; the PRODEX trial compared propofol with dexmedetomidine in 31 centers in 6 European countries an
151 medetomidine only, and 2,639 (0.6%) received dexmedetomidine in addition to opioid and/or benzodiazep
152 The MIDEX trial compared midazolam with dexmedetomidine in ICUs of 44 centers in 9 European coun
154 examine the short- and long-term effects of dexmedetomidine in premature and critically ill infants.
156 application of an alpha-2-adrenergic agonist dexmedetomidine in the anesthetic management of function
159 spread use of alpha2 agonists (clonidine and dexmedetomidine) in pediatric critical care sedation.
160 mouse lightly anesthetized with isoflurane, dexmedetomidine increased behavioral arousal and reduced
163 st, phenylephrine, or full alpha(2)-agonist, dexmedetomidine, indicated that the behavioral effects o
166 of age (n = 15, 6 males) at baseline, during dexmedetomidine-induced altered arousal, and recovery st
174 , using multivariable regression, escalating dexmedetomidine infusion rate was associated with increa
175 h individualized targeted sedation, use of a dexmedetomidine infusion resulted in more days alive wit
176 ne to 0.30 +/- 0.25 mug/kg/min 4 hours after dexmedetomidine infusion, increasing again to 0.42 +/- 0
185 ot associated with delirium, and that use of dexmedetomidine is associated with a lower delirium prev
194 troduced into the critical care unit such as dexmedetomidine may also provide a greater ability to ac
196 edation with propofol to the alpha-2 agonist dexmedetomidine may decrease norepinephrine doses in sep
201 us dexmedetomidine (n = 3), lorazepam versus dexmedetomidine (n = 1), midazolam versus propofol (n =
202 s enrolling 1,235 patients: midazolam versus dexmedetomidine (n = 3), lorazepam versus dexmedetomidin
203 on was 1.09 (95% CI, 0.96-1.25; P = .20) for dexmedetomidine (n = 457) vs propofol (n = 471) and was
206 -protocol population (midazolam, n = 233, vs dexmedetomidine, n = 227; propofol, n = 214, vs dexmedet
207 r more than 24 hours (midazolam, n = 251, vs dexmedetomidine, n = 249; propofol, n = 247, vs dexmedet
209 ntinued for up to 6 hours (acetaminophen and dexmedetomidine: n = 29; placebo and dexmedetomidine: n
210 hen and dexmedetomidine: n = 29; placebo and dexmedetomidine: n = 30; acetaminophen and propofol: n =
212 ll voltage clamp methodology, the actions of dexmedetomidine on excitatory glutamatergic and inhibito
214 s and benzodiazepines, 1.573 (0.4%) received dexmedetomidine only, and 2,639 (0.6%) received dexmedet
217 ntly recommend targeting light sedation with dexmedetomidine or propofol for adults receiving mechani
219 for 48 hours and postoperative sedation with dexmedetomidine or propofol starting at chest closure an
222 led trial that randomly assigned patients to dexmedetomidine or saline placebo infused during surgery
225 urrent controlled data suggest that use of a dexmedetomidine- or propofol-based sedation regimen rath
226 ce issued conditional recommendations to use dexmedetomidine over propofol for sedation, provide enha
230 d a lack of response to tail clamping, while dexmedetomidine produced profound sedation, with preserv
233 hasone, rivastigmine, risperidone, ketamine, dexmedetomidine, propofol, and clonidine) reduced the ri
234 et sedation was 1.07 (95% CI, 0.97-1.18) and dexmedetomidine/propofol, 1.00 (95% CI, 0.92-1.08).
235 ng large AP clusters with shorter latencies, dexmedetomidine reduced AP latency across remaining clus
240 acetaminophen, combined with IV propofol or dexmedetomidine, reduced in-hospital delirium vs placebo
242 study coprimarily aimed to establish whether dexmedetomidine reduces the incidence of new-onset atria
243 evel of sedation, switching from propofol to dexmedetomidine resulted in a reduction of catecholamine
246 cardia (heart rate <50/min) were higher with dexmedetomidine (RR, 1.62 [95% CI, 1.36-1.93]) and cloni
247 warranted to delineate an optimal regimen of dexmedetomidine sedation and any dose-related influence
248 to determine the safety and effectiveness of dexmedetomidine sedation compared to the standard used p
254 r non-cardiac surgery, prophylactic low-dose dexmedetomidine significantly decreases the occurrence o
257 clinically used alpha(2)-adrenergic agonist dexmedetomidine that enhances EEG slow-wave activity, in
258 to light by co-delivering a second compound, dexmedetomidine, that potentiates the effect of delivere
260 creased from 0.69 +/- 0.72 mug/kg/min before dexmedetomidine to 0.30 +/- 0.25 mug/kg/min 4 hours afte
261 edge, this report describes the first use of dexmedetomidine to facilitate opioid withdrawal in child
263 l sedation and local anesthesia, addition of dexmedetomidine to intravenous anesthesia, and defining
265 in the intensive care unit, the addition of dexmedetomidine to standard care compared with standard
266 The administration of the alpha 2-agonist, dexmedetomidine, to HTM cells resulted in a 90% inhibiti
267 n time to extubation was 1.9 days shorter in dexmedetomidine-treated patients (3.7 days [95% CI, 3.1
269 um during treatment was 54% (n = 132/244) in dexmedetomidine-treated patients vs 76.6% (n = 93/122) i
272 , the study examined the correlation between dexmedetomidine use and postoperative cognitive change.
274 gery, we examined for an association between dexmedetomidine use in the immediate postoperative perio
275 y, there are no large studies characterizing dexmedetomidine use in US neonatal intensive care units
280 es, agitation occurred at a higher rate with dexmedetomidine vs propofol (risk ratio [RR], 1.54 [95%
284 function trial, which compared sedation with dexmedetomidine vs. lorazepam in mechanically ventilated
288 cluding drug acquisition cost, sedation with dexmedetomidine was associated with a median total inten
289 dine at a later time in the hospitalization, dexmedetomidine was associated with increased odds of br
295 receiving prolonged mechanical ventilation, dexmedetomidine was not inferior to midazolam and propof
296 nced baseline characteristics, allocation to dexmedetomidine was significantly associated with earlie
299 label use, and the potential side effects of dexmedetomidine with long-term use needs further evaluat
300 ese procedures can be provided by the use of dexmedetomidine, with or without the addition of remifen