I've used low dose morphine or ketamine to keep patients on the NIV reasonably comfortably with good success. Never used dexmedetomidine before in my ED practice
For NIV, if we don't have dexmed in our ED, what would you think about droperidol? Sedation, no vomiting. It became available again in the US a number of months ago and we were fortunate - it never went of hospital formulary - so as it soon as it was again available, we ordered it.
Sound ideal for NIV. For a busy ER, having to titrate / hold / titrate sound like a recipe for an M and M and /or RN being overwhelmed. I'll stick to propofol. As usual, super helpful into to drug our hospital currently only uses in ICU.
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6 AMA PRA Category 1 Credits™ certified by CEME (EM:RAP)
Luke T., Dr - July 2, 2019 9:09 PM
I've used low dose morphine or ketamine to keep patients on the NIV reasonably comfortably with good success. Never used dexmedetomidine before in my ED practice
Paul Z., M.D. - August 2, 2019 3:02 PM
For NIV, if we don't have dexmed in our ED, what would you think about droperidol? Sedation, no vomiting. It became available again in the US a number of months ago and we were fortunate - it never went of hospital formulary - so as it soon as it was again available, we ordered it.
brendan c., m.d. - October 26, 2019 8:02 AM
Sound ideal for NIV.
For a busy ER, having to titrate / hold / titrate sound like a recipe for an M and M and /or RN being overwhelmed. I'll stick to propofol. As usual, super helpful into to drug our hospital currently only uses in ICU.