spartacus007 74 Posted June 15, 2020 Share Posted June 15, 2020 Dear Colleagues I am writing to you about your dose range and experiences of using fentanyl infusions for sedation. What is your range and what side effects have you seen. Alok Link to post Share on other sites
JMari 5 Posted June 21, 2020 Share Posted June 21, 2020 Hi Alok, We use Fentanyl infusion on our unit, we start with 1 ug/kg/h and titrate depending on the effect. No major side effect experienced (apart from respiratory depression), but we see withdrawal if used for longer period. Most frequently given for postop pain/PPHN etc. Judit Link to post Share on other sites
frvg666 10 Posted June 22, 2020 Share Posted June 22, 2020 We USE clonidine infusion (1.5microgr) 2 - 3 days before we stopp fentanyl infusion if duration of fentanyl was longer than 4-5 days. Almost no withdrawl problems, reduction of clonidine 2-3 days after fentanyl was stopped Link to post Share on other sites
bimalc 130 Posted June 26, 2020 Share Posted June 26, 2020 1-4 ug/kg/h infusions, usually the lower end of that spectrum, titrating by 0.5 to 1 to effect. Obviously respiratory depression is an issue, but these drips are almost exclusively used in intubated patients so less of a concern. Less uniform practice in my group, historically have used methadone or morphine to come off high dose infusions, but we're increasingly using dexmedetomidine for much the same reason/effect as @frvg666 uses clonidine when coming off larger exposures. Link to post Share on other sites
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now