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Table 4 Sedatives used in status asthmaticus

From: Clinical review: Severe asthma

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