Clonidine sedation

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  1. Erin Moderator

    Clonidine sedation


    Study Objective: To determine the effects of oral clonidine premeditation sedative, anxiolytic, and hemodynamic responses during the immediate preoperative period, laryngoscopy/intubation, and postanesthetic recovery. Design: Randomized double-blind assignment to one of four treatment groups (clonidine 0.1 mg, clonidine 0.2 mg, triazolam 0.25 mg, or placebo); n = 10 per group. Setting: Inpatient surgery in a university-staffed tertiary center. Patients: Forty ASA physical status I and II adults of both sexes scheduled, for a variety of procedures requiring general anesthesia. Interventions: Anxiety and sedation scored on ordinal scale at time of treatment and 90 minutes later, just prior to anesthetic induction. Standardized induction protocol with automated hemodynamic monitoring at 1-minute intervals and a 45-second laryngoscopy to ensure a vigorous stress response. Measurements and Main Results: Triazolam and both closes of clonidine increased sedation at 90 minutes both absolutely and compared with a placebo. Introduction Sedation is an essential part of paediatric critical care. Midazolam, often in combination with opioids, is the current gold standard drug. However, as it is a far-from-ideal agent, clonidine is increasingly being used in children. This drug is prescribed off-label for this indication, as many drugs in paediatrics are. Therefore, the CLOSED trial aims to provide data on the pharmacokinetics, safety and efficacy of clonidine for the sedation of mechanically ventilated patients in order to obtain a paediatric-use marketing authorisation. Methods and analysis The CLOSED study is a multicentre, double-blind, randomised, active-controlled non-inferiority trial with a 1:1 randomisation between clonidine and midazolam. Both treatment groups are stratified according to age in three groups with the same size: Ethics Written informed consent will be obtained from the parents/caregivers.

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    Jan 6, 2015. We reviewed the evidence about the safety and efficacy of dexmedetomidine and clonidine known as alpha-2 agonists for long-term sedation. Clonidine should be used with caution in patients with cerebrovascular disease, coronary insufficiency, heart failure, occlusive peripheral vascular disorders such as Raynaud's disease, polyneuropathy, constipation or those with a history of depression. Introduction Sedation is an essential part of paediatric critical care. Midazolam, often in combination with opioids, is the current gold standard drug. However, as.

    Dexmedetomidine, sold under the trade name Precedex among others, is an anxiety reducing, sedative, and pain medication. Dexmedetomidine is notable for its ability to provide sedation without risk of respiratory depression (unlike other commonly used sedatives such as propofol, fentanyl, and midazolam) and can provide cooperative or semi-arousable sedation. Similar to clonidine, it is an agonist of α Dexmedetomidine is most often used in the intensive care setting for light to moderate sedation. A feature of dexmedetomidine is that it has analgesic properties in addition to its role as a hypnotic, but is opioid sparing; thus, it is not associated with significant respiratory depression (unlike propofol). Many studies suggest dexmedetomidine for sedation in mechanically ventilated adults may reduce time to extubation and ICU stay. It can be used as an adjunct with other sedatives like benzodiazepines, opioids, and propofol to enhance sedation and help maintain hemodynamic stability by decreasing the requirement of other sedatives. Intravenous infusion of dexmedetomidine is commonly initiated with a loading dose followed by a maintenance infusion. There may be great individual variability in the hemodynamic effects (especially on heart rate and blood pressure), as well as the sedative effects of this drug. Background Sedation is an important treatment for critically ill patients who need a machine to support breathing, because it reduces anxiety and stress and facilitates the delivery of nursing care. However, some commonly-used sedatives, such as , midazolam and lorazepam, might decrease blood pressure, depress breathing, and delay awakening after a long-term infusion. They may prolong breathing support time and length of stay in hospital. Dexmedetomidine and clonidine sedate but allow staff to interact with patients, and they ease pain but do not depress breathing. Those treated with them could be more easy to awake, and more able to communicate their discomfort and pain. These drugs are therefore attractive alternatives for long-term , midazolam and lorazepam. We found no eligible studies in children or for clonidine.

    Clonidine sedation

    Clonidine in Adults as a Sedative Agent in the Intensive Care Unit, Clonidine 25mcg Tablets BP - Summary of Product.

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  6. Clonidine as a Strategy for Discontinuing Long-term Sedation with Dexmedetomidine in Critically Ill Patients Illustration from Vanderbilt Medicine Magazine, Summer 20151 Shelley Glaess, Pharm. D. PGY-2 Pharmacotherapy Resident Controversies in Clinical Therapeutics University of the Incarnate Word Feik School of Pharmacy San Antonio, TX

    • Clonidine as a Strategy for Discontinuing Long-term Sedation..
    • The CLOSED trial; CLOnidine compared with midazolam for SEDation..
    • Clonidine for sedation in the critically ill a systematic. - NCBI - NIH.

    Oct 27, 2016. Clonidine may cause drowsiness or sedation as a side effect. Still, there's not enough research to support it as a safe treatment for insomnia. Clonidine is usually taken in the morning and at bedtime. If you take different doses of this medicine at each dosing time, it may be best to take the larger dose at bedtime. Clonidine may be taken with or without food. Do not use two forms of clonidine at the same time. This medicine is also available as a transdermal patch worn on the skin. Commonly reported side effects of clonidine include drowsiness, fatigue, hypotension, lethargy, sedated state, headache, and upper abdominal pain. Other side effects include dizziness. See below for a comprehensive list of adverse effects. Along with its needed effects, clonidine may cause some.

     
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