Bradycardia resulting in cardiac arrest in a critically ill patient receiving dexmedetomidine.
Cardiac arrest
Critically ill
Dexmedetomidine
Journal
Trauma case reports
ISSN: 2352-6440
Titre abrégé: Trauma Case Rep
Pays: Netherlands
ID NLM: 101711730
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
accepted:
23
10
2021
entrez:
26
11
2021
pubmed:
27
11
2021
medline:
27
11
2021
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 34825041
doi: 10.1016/j.tcr.2021.100548
pii: S2352-6440(21)00153-9
pmc: PMC8604663
doi:
Types de publication
Case Reports
Langues
eng
Pagination
100548Informations de copyright
© 2021 Published by Elsevier Ltd.
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