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.
To join the conversation, you need to subscribe.
Sign up today for full access to all episodes and to join the conversation.
EM:RAP 2019 JuneFull episode audio for MD edition227:40 min - 317 MB - M4AEMRAP 2019 June Canadian EditionCanadian17:11 min - 24 MB - MP3EMRAP 2019 June German EditionDeutsche92:42 min - 127 MB - MP3EM:RAP 2019 June Spanish EditionEspañol78:44 min - 108 MB - MP3EM:RAP 2019 June French EditionFrançais30:59 min - 43 MB - MP3EM:RAP 2019 June Farsi EditionFarsi132:49 min - 182 MB - MP3EM:RAP 2019 June Aussie EditionAustralian0:57 min - 1 MB - MP3EMRAP 2019 06 June Individual MP3s294 MB - ZIPEMRAP 2019 June Board Review Answers131 KB - PDFEMRAP 2019 June Board Review Questions177 KB - PDFEMRAP 2019 June Spanish Written (SPA)4 MB - PDFEMRAP 2019 June Written Summary367 KB - PDF
To earn CME for this chapter, you need to subscribe.
Sign up today for full access to all episodes and earn CME.
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.
brendanC - 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.