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Anesthesia and analgesia · Jun 2008
Case ReportsDexmedetomidine sedation leading to refractory cardiogenic shock.
- Tina C Sichrovsky, Suneet Mittal, and Jonathan S Steinberg.
- St. Luke's-Roosevelt Hospital Center/Columbia University, 1111, Amsterdam Ave., New York City, NY 10025, USA. Tina.sichrovsky@gmx.net
- Anesth. Analg. 2008 Jun 1;106(6):1784-6.
AbstractDexmedetomidine is frequently used for deep sedation during electrophysiology procedures. We report a case where, presumably, the use of dexmedetomidine resulted in a patient's death. The patient developed unexplained and refractory cardiogenic shock and could not be resuscitated. Autopsy failed to demonstrate any abnormality or cause of death. We postulate that, in certain susceptible individuals, dexmedetomidine may lead to terminal complications. We therefore urge caution about using dexmedetomidine in the electrophysiology laboratory.
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