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Agitation is frequent and challenging problem in peri-operative and ICU patient care
Multiple pharmacologic agents typically administered during peri-operative and ICU care may 6 result in significant and often unpredictable outcomes Concomitant administration of these agents may lead to or worsen agitation and confusion
6
Agents that may contribute to agitation and delirium in peri-operative and ICU care patients
Benzodiazepines Opiates Volatile anaesthetics Muscle relaxants Anticholinergics Antibiotics Xamdex TM
TM
Xamdex may be of great benefit in treating and preventing agitation and delirium in 6 peri-operative and ICU care patients
Described as being effective in treating agitation and hyper-adrenergic states refractory to haloperidol6 Successfully lowers the incidence of emergence delirium after general anaesthetic
6
dexmedetomidine HCL
Xamdex
TM
Sedation Redefined
Sympatholysis leads to modest decrease in heart rate and blood pressure No respiratory depression:
1,2,3
4,6
Facilitates sedation in non-intubated patients6 Allows for extubation without the need to discontinue Xamdex infusion
TM
Minimal interference in the extubation process with Xamdex Ease of arousability in the treated patients
6
TM
Patients can be easily and calmly awakened Facilitates ease of patient evaluation and care
Xamdex
TM
Sedation Redefined
SEDATION, ANALGESIA and ANXIOLYSIS in a SINGLE AGENT resulting in AROUSABLE, CALM, COMFORTABLE and CO-OPERATIVE PATIENTS with NO RESPIRATORY DEPRESSION and DECREASED AGITATION and DELIRIUM1,2,3,6
dexmedetomidine HCL
Xamdex
TM
Sedation Redefined
References:
1. 2. 3. 4. 5. 6. Maze M, Morrison P. Redefining sedation. International Congress and Symposium Series 221. Royal Society of Medcine Press Limited; 1998. Bhana N, Goa KL, McClellan KJ. Dexmedetomidine. Drugs 2000; 59(2):263-268. XamdexTM package insert. Tobias JD. Dexmedetomidine in Trauma Anaesthesiology and Critical Care. Traumacare 2007; 17(1): 6-18. Cain JG. Dexmedetomidine and Hextend: Their Role in Trauma Care. Traumacare 2007; 17(1): 4-5. Shukry M, Cain JG. Dexmedetomidine Prevents and treats Agitation, Delirium and Withdrawal. Traumacare 2007; 17(1): 24-26.