Bradycardia resulting in cardiac arrest in a critically ill patient receiving dexmedetomidine

Dexmedetomidine is an alpha-2 agonist sedative and analgesic used in anesthesia practice, and it has become more prevalent in the critically ill patients requiring short-term mechanical ventilation. While dexmedetomidine is known to have minimal effects on respiratory drive, it has been well-documen...

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Autores principales:	Anoosh Bahraini, Oyshik Banerjee, Jin Ra
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Dexmedetomidine Cardiac arrest Critically ill Surgery RD1-811
Acceso en línea:	https://doaj.org/article/58cf84b1d30949469d4d107507d1d32d
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spelling	oai:doaj.org-article:58cf84b1d30949469d4d107507d1d32d2021-11-14T04:34:23ZBradycardia resulting in cardiac arrest in a critically ill patient receiving dexmedetomidine2352-644010.1016/j.tcr.2021.100548https://doaj.org/article/58cf84b1d30949469d4d107507d1d32d2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352644021001539https://doaj.org/toc/2352-6440Dexmedetomidine is an alpha-2 agonist sedative and analgesic used in anesthesia practice, and it has become more prevalent in the critically ill patients requiring short-term mechanical ventilation. While dexmedetomidine is known to have minimal effects on respiratory drive, it has been well-documented to cause bradycardia and hypotension, especially in patients with existing comorbidities. We present a patient without cardiovascular comorbidities who was in the surgical ICU under dexmedetomidine sedation. The patient went into asystole cardiac arrest after vagal stimulation. Return of spontaneous circulation was achieved using ACLS protocol. We offer a review of reported cases and make recommendations on the management of similar situations that may arise given the increasing use of dexmedetomidine.Anoosh BahrainiOyshik BanerjeeJin RaElsevierarticleDexmedetomidineCardiac arrestCritically illSurgeryRD1-811ENTrauma Case Reports, Vol 36, Iss , Pp 100548- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dexmedetomidine Cardiac arrest Critically ill Surgery RD1-811
spellingShingle	Dexmedetomidine Cardiac arrest Critically ill Surgery RD1-811 Anoosh Bahraini Oyshik Banerjee Jin Ra Bradycardia resulting in cardiac arrest in a critically ill patient receiving dexmedetomidine
description	Dexmedetomidine is an alpha-2 agonist sedative and analgesic used in anesthesia practice, and it has become more prevalent in the critically ill patients requiring short-term mechanical ventilation. While dexmedetomidine is known to have minimal effects on respiratory drive, it has been well-documented to cause bradycardia and hypotension, especially in patients with existing comorbidities. We present a patient without cardiovascular comorbidities who was in the surgical ICU under dexmedetomidine sedation. The patient went into asystole cardiac arrest after vagal stimulation. Return of spontaneous circulation was achieved using ACLS protocol. We offer a review of reported cases and make recommendations on the management of similar situations that may arise given the increasing use of dexmedetomidine.
format	article
author	Anoosh Bahraini Oyshik Banerjee Jin Ra
author_facet	Anoosh Bahraini Oyshik Banerjee Jin Ra
author_sort	Anoosh Bahraini
title	Bradycardia resulting in cardiac arrest in a critically ill patient receiving dexmedetomidine
title_short	Bradycardia resulting in cardiac arrest in a critically ill patient receiving dexmedetomidine
title_full	Bradycardia resulting in cardiac arrest in a critically ill patient receiving dexmedetomidine
title_fullStr	Bradycardia resulting in cardiac arrest in a critically ill patient receiving dexmedetomidine
title_full_unstemmed	Bradycardia resulting in cardiac arrest in a critically ill patient receiving dexmedetomidine
title_sort	bradycardia resulting in cardiac arrest in a critically ill patient receiving dexmedetomidine
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/58cf84b1d30949469d4d107507d1d32d
work_keys_str_mv	AT anooshbahraini bradycardiaresultingincardiacarrestinacriticallyillpatientreceivingdexmedetomidine AT oyshikbanerjee bradycardiaresultingincardiacarrestinacriticallyillpatientreceivingdexmedetomidine AT jinra bradycardiaresultingincardiacarrestinacriticallyillpatientreceivingdexmedetomidine
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Bradycardia resulting in cardiac arrest in a critically ill patient receiving dexmedetomidine

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