| First author (year of publication) | Study design | Patients, number | Surgery type | Sedation goal | Dexmedetomidine, infusion rate | Control, infusion rate |
---|---|---|---|---|---|---|---|
1 | Herr (2003) | Randomized, open label study | 295 | CABG§ | RSS§ ≥ 3 during assisted ventilation and ≥ 2 after extubation | 1.0 ug/kg over 20 minutes then 0.2 to 0.7ug/kg/h to maintain | Propofol: not given |
2 | Anger (2010) | Prospective, descriptive study | 56 | Cardiac surgery | Similar RASS§ between groups | 0.6 ± 0.1 ug/kg/h | Propofol: 1.5 ± 0.6 ug/kg/h |
3 | Yapici (2010) | Prospective observational study | 72 | Cardiac surgery | Performing RASS scores at 48 and 60 h postoperative | 0.3 to 0.7 ug/kg/h | Midazolam: 0.05 to 0.2 mg/kg/h |
4 | Barletta (2009) | Retrospective study | 100 | Cardiac surgery | Not given | 0.3 ± 0.12 ug/kg/h | Propofol: 29 ± 11 ug/kg/min |
5 | Maldonado (2009) | RCT§ | 118 | Cardiac surgery | RSS of 3 before extubation and 2 after extubation | loading dose: 0.4 ug/kg and then 0.2 to 0.7 ug/kg/h to maintain | Propofol: 25 to 50 ug/kg/min; midazolam: 0.5 to 2.0 mg/h |
6 | Dasta (2006) | Retrospective study | 10352 | Cardiac valve and vessel surgery | Not given | Three drugs (dexmedetomidine, propofol plus midazolam): not given | Two drugs (propofol plus midazolam): not given |
7 | Aziz (2011) | RCT | 28 | Cardiac surgery | Modified Ramsay Score and Numeric Pain Intensity Scale (compared within groups) | 0.12 ± 0.03 ug/kg/h | Morphine: 13.2 ± 5.84 ug/kg/h |
8 | Shehabi (2009) | RCT | 306 | Pump cardiac surgery | Motor Activity Assessment Scale of 2 to 4 | 0.1 to 0.7 ug/kg/h | Morphine: 10 to 70 ug/kg/h |
9 | Wunsch (2010) | Retrospective cohort study | 5332 | CABG and valve surgery | Not given | Not given | Midazolam, lorazepam, propofol: not given |
10 | Corbett (2005) | Prospective randomized study | 89 | CABG | RSS of 5 for the first 2 h postoperative, followed by a score of 3 to 4 during intubation | Loading dose:1 ug/kg over 15 minutes, followed by 0.4 ug/kg/h | Propofol: 5 to 75 ug/kg/min |
11 | Reichert (2011) | Retrospective case-control study | 70 | CABG | SAS§ targeted to scores of 3 or 4 | 0.3 to 0.7 ug/kg/h | Propofol: 15 to 30 ug/kg/min |