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Discussion

Propofol in the ICU

I know there's a recommendation to not use for more than 48 hours at a time but many other people I know who work in ICU's and such said that they will use it for weeks at another. Also, other sources said it can be used for extended periods of time if the benefits outweigh the risks. What is your take?

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    • Expert

    I truly don't mean to be snarky but you seem to have an unusually high interest in the drug Propofol. I'm starting to feel like you've got some sort of agenda that we are unwitting participants in.

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    • Author
    I truly don't mean to be snarky but you seem to have an unusually high interest in the drug Propofol. I'm starting to feel like you've got some sort of agenda that we are unwitting participants in.

    No agenda lol, just been reading how it is almost modern days idea of the "ideal anesthetic" minus a few shortcomings.

    I can find how long it can be administered for?

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    This might get better response in critical care nursing forum...https://allnurses.com/critical-care-nursing/

    In anesthesia school now, we only use it for the case, whether it be just a bolus for induction and intubation, or a bolus induction and then a propofol MAC or TIVA. We don't run it for weeks on a patient. In the ICU, yes, we would run it for days, maybe a week or 2. Gotta watch out for Propofol Infusion Syndrome.

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    • Author
    This might get better response in critical care nursing forum...https://allnurses.com/critical-care-nursing/

    In anesthesia school now, we only use it for the case, whether it be just a bolus for induction and intubation, or a bolus induction and then a propofol MAC or TIVA. We don't run it for weeks on a patient. In the ICU, yes, we would run it for days, maybe a week or 2. Gotta watch out for Propofol Infusion Syndrome.

    Thank you for the reply... is there a guaranteed number of does that a person can be on propofol before propofol infusion syndrome sets in? In other words does its onset correlate with the amount of days used?

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    Thank you for the reply... is there a guaranteed number of does that a person can be on propofol before propofol infusion syndrome sets in? In other words does its onset correlate with the amount of days used?

    Just google Diprivan dude...this is getting creepy....

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    You're in the anesthesiology subreddit asking the same questions. Seriously, what's the deal?

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    OP is actually asking this same question in multiple subreddits. It is definitely edging on creepy-Michael Jackson level.

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    • Guides

    FYI: Anesthesia doesn't administer propofol drips for days on end. We administer propofol usually just for surgical cases, which on average in the US are 2-2.5 hours.

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    OP there was a really informative post on this just a few weeks ago. I think you can find it in the critical care forum.

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    are you a member of AACN? go there and search "propofol" and there's a scholarly article on the syndrome.

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