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Effective dose of dexmedetomidine as an adjuvant sedative to peripheral nerve blockade in elderly patients

Acta Anaesthesiologica Scandinavica Feb 16, 2018

Wang C, et al. - Herein, researchers investigated the median effective dose (ED50) of intravenous dexmedetomidine for sedation in elderly patients who were undergoing total knee arthroplasty (TKA) with peripheral nerve block (PNB). In the young-old group and in the middle-old group, the identified ED50 of single-dose dexmedetomidine adjuvant to PNB was 0.57 μg/kg and 0.38 μg/kg, respectively. Furthermore, relative to the young-old group, ED50 of dexmedetomidine in the middle-old group decreased by 33% with a mean age difference of 11 years between the two groups.
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