Quick tip for families in ICU: Should sedatives being given in ICU for patients off ventilation?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-should-sedatives-being-given-in-icu-for-patients-off-ventilation/

Quick tip for families in ICU: Should sedatives such as Precedex (Dexmedetomidine) being given in ICU for patients off ventilation?

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Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care.

So currently we’re working with a client who has their 78-year old father in ICU with lung cancer and a sepsis. Now, thankfully, his father is not ventilated at the moment, but he needs some oxygen and his arterial blood gases are quite stable, but obviously with being a lung cancer patient, the risk is there that an intubation might be next and also he has a pneumonia plus the sepsis.

So it’s a tricky situation and in a situation like that, you’ve got to make sure that your loved one can breathe independently, sitting up, ideally gets out of bed, which is not often possible, especially with the sepsis when patients are on either inotropes or vasopressors. But nevertheless sitting up is the least you can do to keep your loved one off the ventilator because somebody with lung cancer needing to be intubated and going on a ventilator, it’s going to be very difficult to wean them off the ventilator.

Now, my client has told me that his father is on a sedative called Precedex also known as Dexmedetomidine. Now, a sedative, it’s really contraindicated for anybody that needs to stay off the ventilator.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-should-sedatives-being-given-in-icu-for-patients-off-ventilation/