A colleague wants to hear if anyone has experience with dexmedetomidine in neurocritcal care: adults and children ? We want to open a discussion on the subject and would like your input. Please add you comments below.
A colleague wants to hear if anyone has experience with dexmedetomidine in neurocritcal care: adults and children ? We want to open a discussion on the subject and would like your input. Please add you comments below.
neuroscand.com 
We, here in Turku, have used dexmedetomidine in both adult and in pediatric patients. We have used it in TBI, SAH and ischemic stroke patients and in our pediatric TBI patients if/when they do not have increased ICP. In refractory ICP cases propofol and midazolam are the sedatives we use.
In addition, dexmedetomidine is most the common sedative in our paediatric ICU. We are happy with dexmedetomide and have not observed any other problems than occasional bradycardia.
Best regards, Riikka
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At OUS Ullevaal – Level one trauma center in Oslo Norway – we use it in the NeuroICU but for weaning strategies mostly. Mabe too late for real benefit? There is certainly a physiologic rationale for earlier application, mabe as an adjunct? – check out this one:
Neuroprotective effects of dexmedetomidine conditioning strategies: Evidences from an in vitro model of cerebral ischemia. Life Sciences, 144(C), 162–169. http://doi.org/10.1016/j.lfs.2015.12.007
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