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From the Department of Anesthesiology and Intensive Care, Nippon Medical School, Tokyo, Japan.
Address correspondence and reprint requests to Shinhiro Takeda, Department of Anesthesiology and Intensive Care, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan. Address e-mail to shinhiro{at}nms.ac.jp.
BACKGROUND: Agitation is associated with failure of noninvasive ventilation (NIV). We investigated the effect of dexmedetomidine in patients with NIV.
METHODS: This was a prospective clinical investigation in an intensive care unit. Dexmedetomidine was infused in 10 patients in whom NIV was difficult because of agitation.
RESULTS: Ramsay and Richmond Agitation-Sedation Scale scores were maintained at 2.94 ± 0.94 and –1.23 ± 1.30, respectively. All patients were successfully weaned from NIV, and the respiratory state was not worsened.
CONCLUSION: This study shows that dexmedetomidine is an effective sedative drug for patients with NIV.
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