2024年8月27日星期二

Sedatives IV


Sedatives IV

Intravenous (IV) sedatives are a crucial component of modern medical practice, offering rapid onset and precise control of sedation levels. These medications are administered directly into the bloodstream, allowing for quick action and easy dose adjustments. Here's a comprehensive overview of IV sedatives:


Common IV Sedatives:


a) Propofol:


Fast-acting, short duration

Used for induction and maintenance of anesthesia

Popular in ICU for continuous sedation


b) Midazolam:


Benzodiazepine with rapid onset

Amnestic properties

Useful for short procedures


c) Dexmedetomidine:


Alpha-2 agonist

Provides sedation without significant respiratory depression

Allows for easier patient arousal


d) Ketamine:


Dissociative anesthetic

Provides sedation and analgesia

Useful in trauma settings


e) Etomidate:


Rapid-acting sedative

Minimal cardiovascular effects

Often used in emergency situations


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Administration Methods:


a) Bolus dosing: Single or intermittent doses

b) Continuous infusion: Steady administration for prolonged sedation

c) Target-controlled infusion: Computer-controlled delivery based on pharmacokinetic models

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Indications:



Procedural sedation (e.g., endoscopies, cardioversion)

Induction and maintenance of general anesthesia

ICU sedation for mechanically ventilated patients

Management of agitated or delirious patients

Facilitation of diagnostic imaging 

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