Dexmedetomidine: Exploring Its Potential Role and Dosing Guideline for Its Use in Intractable Pain in the Palliative Care Setting

Patrick J. Coyne Patrick J Coyne, MSN, APRN, FAAN, is Clinical Director; Colin Wozencraft, MD, is a Fellow in Palliative Medicine; Barton Bobb, NP, is an Advanced Practice Nurse; and Thomas J. Smith, MD, is Medical Director, Thomas Palliative Care Program, Virginia Commonwealth University/Massey Cancer Center, Richmond, Virginia, USA. Seth Roberts, MD, PhD, is a physician on the Palliative Medicine Service at Bon Secours Richmond Health System, Richmond, Virginia, USA.

Colin P. Wozencraft Patrick J Coyne, MSN, APRN, FAAN, is Clinical Director; Colin Wozencraft, MD, is a Fellow in Palliative Medicine; Barton Bobb, NP, is an Advanced Practice Nurse; and Thomas J. Smith, MD, is Medical Director, Thomas Palliative Care Program, Virginia Commonwealth University/Massey Cancer Center, Richmond, Virginia, USA. Seth Roberts, MD, PhD, is a physician on the Palliative Medicine Service at Bon Secours Richmond Health System, Richmond, Virginia, USA.

Seth B. Roberts Patrick J Coyne, MSN, APRN, FAAN, is Clinical Director; Colin Wozencraft, MD, is a Fellow in Palliative Medicine; Barton Bobb, NP, is an Advanced Practice Nurse; and Thomas J. Smith, MD, is Medical Director, Thomas Palliative Care Program, Virginia Commonwealth University/Massey Cancer Center, Richmond, Virginia, USA. Seth Roberts, MD, PhD, is a physician on the Palliative Medicine Service at Bon Secours Richmond Health System, Richmond, Virginia, USA.

Barton Bobb Patrick J Coyne, MSN, APRN, FAAN, is Clinical Director; Colin Wozencraft, MD, is a Fellow in Palliative Medicine; Barton Bobb, NP, is an Advanced Practice Nurse; and Thomas J. Smith, MD, is Medical Director, Thomas Palliative Care Program, Virginia Commonwealth University/Massey Cancer Center, Richmond, Virginia, USA. Seth Roberts, MD, PhD, is a physician on the Palliative Medicine Service at Bon Secours Richmond Health System, Richmond, Virginia, USA.

Thomas J. Smith Patrick J Coyne, MSN, APRN, FAAN, is Clinical Director; Colin Wozencraft, MD, is a Fellow in Palliative Medicine; Barton Bobb, NP, is an Advanced Practice Nurse; and Thomas J. Smith, MD, is Medical Director, Thomas Palliative Care Program, Virginia Commonwealth University/Massey Cancer Center, Richmond, Virginia, USA. Seth Roberts, MD, PhD, is a physician on the Palliative Medicine Service at Bon Secours Richmond Health System, Richmond, Virginia, USA.

ABSTRACT

Intractable pain continues to pose problems for patients with life-limiting disease. The authors review the potential role of dexmedetomidine (Precedex), an α₂-adrenergic agonist, as a bridge to obtaining effective analgesia. The authors offer criteria to consider in utilizing this medication within the context of palliative care.

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Dexmedetomidine: Exploring Its Potential Role and Dosing Guideline for Its Use in Intractable Pain in the Palliative Care Setting

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Dexmedetomidine: Exploring Its Potential Role and Dosing Guideline for Its Use in Intractable Pain in the Palliative Care Setting

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