Thursday, April 28, 2016

2 4 6 0 1

In multiple studies including a recent JAMA article, I have been shown to reduce the duration of mechanical ventilation and ICU stay compared to my more traditional counterparts. I'm sometimes used in procedural sedation (even as anesthesia for awake craniotomies!). Other times, you might find me hanging with benzos for that drunk patient sobering up. Sometimes, I am given as a loading dose, and I can cause either hypertension or hypotension, to the confusion of many medical students. Avoid me if the patient has heart block or bradycardia, though.

Challenge: Who am I?

Image is in the public domain.


RaH said...

Thiis is Dexmedetomidine, a beta 2 agonist

Craig Chen said...

exactly! one of my favorite sedatives for the ICU
2 4 6 0 1

This is dexmedetomidine, a centrally acting alpha-2 agonist with sedative, anxiolytic, and some analgesic properties that does not depress respiratory drive.

Sources: UpToDate; Wikipedia.