Table 4.
Sedatives used in status asthmaticus
Agents | Dose | Side effects |
Peri-intubation period | ||
Midazolam | 1 mg (intravenous) slowly, every 2–3 min until the patient allows positioning and airways inspection | Hypotension, respiratory depression |
Ketamine | 1–2 mg/kg (intravenous) at a rate of 0.5 mg/kg/min | Sympaticomimetics effects, delirium |
Propofol | 60–80 mg/min initial intravenous infusion up to 2.0 mg/kg, followed by an infusion of 5–10 mg/kg/hour as needed | Respiratory depression |
Mechanical ventilation | ||
Midazolam | 1–10 mg/hour continuous intravenous infusion | |
Morphine sulfate | 1–5 mg/hour intravenous continuous infusion | Nausea, vomiting, ileus |
Ketamine | 0.1–0.5 mg/min (intravenous) | |
Propofol | 1–4.5 mg/kg/hour (intravenous) | Seizures, hyperlipidemia |