Prone MAC cases

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It's a good drug for sedation in the ICU. It, along with an opioid infusion, and maybe some antipsychotics, is a good benzo-free, HR-reducing sedation regimen when you're talking about days-to-many-days timeframe.

In the OR, I have yet to see a situation where it's the best drug.
I have found it great as an adjunct for my niche practice. It has potential to be neuroprotective in pediatrics and it is great for preventing emergence delirium. It is useful in spontaneous breathing TIVA cases GA or sedation especially for obese or potentially challenging airways. It helps counteract ketamine side effects. Its propofol/vapour/narcotic sparing and it provides analgesia with no respiratory depression. It smoothes emergence. It is NOT the best thing since sliced bread and I can do fine without it but I do feel it does have some use.

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