• Anesthesia and analgesia · Jul 2013

    Case Reports

    Case report: polyuria related to dexmedetomidine.

    • Alexandra Pratt, Matthew Aboudara, and Linn Lung.
    • 1 Jarrett White Rd., MCHK-DM-P, Pulmonary Clinic, Tripler Army Medical Center, Honolulu, HI 96859, USA. maboudara23@gmail.com
    • Anesth. Analg.. 2013 Jul 1;117(1):150-2.

    AbstractDexmedetomidine has become a popular sedative in the intensive care unit for patients undergoing mechanical ventilation because of its highly selective α-2 agonism, which exerts a combination of anesthetic, analgesic, and anxiolytic effects. Bradycardia and hypotension have been reported as the most common side effects of its use in large studies. Dexmedetomidine has been reported to induce polyuria by suppressing vasopressin secretion and increasing permeability of the collecting ducts in a dose-dependent fashion. We report a case of dexmedetomidine-related polyuria that occurred with a high-dose continuous infusion and subsequently resolved with discontinuation of the drug. (Anesth Analg 2013;117:150-2).

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