Our CVICU, has increased our usage within the past year. I was wondering if you have read the P.I.? It indicates that Precedex is indicated as a sedative agent. I have been able to administer far less opoids, not to mention, that you can extubate while the patient continues to receive Precedex. I guess troubleshooting can be difficult for some, but you might take the time to educate yourself as Precedex is not a SOLO agent in terms of taking care of both sedation and pain.