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  • Precedex for labor epidurals and spinals - Student Doctor Network . . .
    Our group is just starting to toy with the idea of using Precedex for these purposes and I am wondering what the experience has been in other practices doing the same? 5 mcg in spinals and 25 mcg in labor epidurals with 0 2% ropi fentanyl 2 mcg per in the infusion The limited exposure we have
  • Precedex Bolus- no loading dose. | Page 2 - Student Doctor Network . . .
    precedex is terrible for outpatients Precedex is terrible for most applications, except (preventing) delirium and reducing propofol dose There are better drugs (e g ketamine) Healthcare people always tend to forget that better is the enemy of good and K I S S P S Funny I wrote something similar 5 years ago, at the top of this page
  • Small dose precedex on induction? | Page 2 - Student Doctor Network . . .
    Precedex has variable effect on different people (as you know from the ICU, some are totally zonked and others are wide awake), so it's definitely not the end-all-be-all It gets the job done for most
  • Precedex safety for sedation and patent expiration in 2019
    This Precedex is ok for a long angio case where you don't need much sedation (0 3-0 5 mcg kg hr) especially knowing that these patients will be hanging in the pacu for a couple hours anyway Main issue at higher infusion rates is prolonged bradycardia hypotension long after sedation and any whiff of analgesia has worn off
  • Understanding the differences indications for different sedation gtts
    Precedex I don't trust for sedation I think it's only good if you are near extubation and want something that keeps pts awake and yet calm Should not be used in patients just intubated and in riproaring sepsis shock Causes too much hypotension and bradycardia which is of course expected as it is an IV analogue of clonidine
  • Precedex Bolus- no loading dose. | Student Doctor Network Forums
    At the children's hospital during residency, we gave precedex for pediatric tonsils all of the time, but not quite as a bolus Often, we put 0 5-1mcg kg precedex, 0 5-1mcg kg fentanyl, decadron, and IV tylenol into a burretrol, then filled with IV fluid to a total volume of 100mL
  • Question about opioid and Precedex dosing in peds
    In my experience fentanyl plus generous precedex plus tylenol and a good steroid dose is enough to have them comfortable on emergence Many people go straight to morphine intraop - I just think it slows emergence and isn't per se necessary
  • Lets talk precedex | Student Doctor Network Forums
    Precedex's alternative mechanism of action gives you a way to keep the patient comfortable in a titratable fashion 4 Awake intubations Since it has no respiratory depressing effects as a sole agent for sedation, it has made my patients a lot more comfortable with this trying situation
  • Small dose precedex on induction? | Student Doctor Network Forums
    The place I'm currently doing locums at many of the MDs and crnas give a small dose (16-24) of precedex on induction No infusion, for short and long cases
  • Any reason why an ICU pt is on precedex rather than propofol?
    A quick google search tells me that precedex doesn't cause respiratory depression or requires the constant attention of propofol and it's good for extubation (but what do I know, I'm just a brownnosing p1) On the other hand, everytime we have a patient on it, I've got to keep on making iv





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