Table 2.
Dexmedetomidine (n = 51) | Usual care (n = 52) | p | |
---|---|---|---|
Received dexmedetomidine, n (%)§ | 49 (96.1) | 2 (3.8) | < 0.01 |
Received midazolam, n (%) | 17 (33.3) | 30 (57.7) | 0.01 |
Received propofol, n (%) | 43 (84.3) | 48 (92.3) | 0.21 |
Received fentanyl, n (%) | 50 (98) | 49 (94.2) | 0.32 |
Received morphine, n (%) | 11 (21.6) | 18 (34.6) | 0.14 |
Duration of dexmedetomidine infusion (days) | 4 [2–7] | – | – |
Duration of midazolam infusion (days) | 1 [1–4] | 3 [2–4] | 0.04 |
Duration of propofol infusion (days) | 5 [2–8] | 4 [2–8] | 0.96 |
Duration of fentanyl infusion (days) | 6 [3–9] | 6 [3–9] | 0.89 |
Duration of morphine infusion (days) | 1 [1–2] | 2.5 [2–7] | 0.05 |
Median dexmedetomidine dose (mcg/kg/day) | 9.01 [5.0–14.8] | – | – |
Median midazolam dose (mg/kg/day) | 0.14 [0.08–0.38] | 0.46 [0.20–0.93] | 0.01 |
Median propofol dose (mg/kg/day) | 7.26 [4.01–15.1] | 9.38 [6.24–14.9] | 0.38 |
Median fentanyl dose (mcg/kg/day) | 12.2 [8.29–15.8] | 11.1 [7.5–15.2] | 0.58 |
Median morphine dose (mg/kg/day), | 0.42 [0.07–0.81] | 0.71 [0.15–1.7] | 0.31 |
Sedation Index during first 48 h (RASS)* | 2.08 [1.5–3.0] | 2.26 [1.52–3.56] | 0.45 |
Sedation Index while ventilated (RASS)* | 1.91 [1.36–2.43] | 2 [1.35–2.35] | 0.4 |
Duration of ventilation (days) | 3.73 [1.89–7.73] | 5.07 [2.43–10.4] | 0.91 |
Data given as mean (SD), median [95% CI]* Sedation index is calculated as the sum of negative Richmond Agitation Sedation Scale measurements divided by the total number of assessments
§In the 2 patients from the usual care group who received the median [95%] duration of infusion was 2.5 days [2–3] and a dose of 8.09 [3.76–12.4] (mcg/kg/day)