ICU sedation Adult Loading dose: 1 mcg/kg IV infusion over 10 min. Maintenance infusion: 0.2-0.7 mcg/kg/hr.
Elderly >65 yr & hepatic or renal impairment Dose reduction should be considered.
Procedural sedation Loading dose: 1 mcg/kg IV infusion over 10 min. Maintenance infusion: 0.6 mcg/kg/hr, then titrated to 0.2-1 mcg/kg/hr.
Less invasive procedures eg, ophth surgery Loading dose: 0.5 mcg/kg IV infusion over 10 min. Maintenance infusion: Initially 0.6 mcg/kg/hr, titrated to 0.2-1 mcg/kg/hr.
Awake fiberoptic intubation patient Loading dose: 1 mcg/kg IV infusion over 10 min. Maintenance infusion: 0.7 mcg/kg/hr.