propofol

[popbob]

do ya'll push it fo concious sedation?

[camoflage]

In my present facility they are doing research on using Ketamine and Propofol together as the Ketamine causes hypertension... so they say :)

Just to let you know that combo has been used for quite a long period of time, many articles already available FYI in case your interested (on pubmed)

[mamalle]

not allowed to be used in the ER I work in. use Etomidate all the time for intubations though..

It does drop the pressure. where I work we use it for our outpatient GI patients- gotta love putting them in trendlenburg and opening their fluids when they come out. Happens almost immediately.. have seen quite a few patients get frisky also after their diprivan ride...

[teeituptom, BSN, RN]

not allowed to be used in the ER I work in. use Etomidate all the time for intubations though..

It does drop the pressure. where I work we use it for our outpatient GI patients- gotta love putting them in trendlenburg and opening their fluids when they come out. Happens almost immediately.. have seen quite a few patients get frisky also after their diprivan ride...

Those outpatient GI pts come in dehydrated anywaym after being prepped for 24 hours with duloclax, and golytely to clean them out. No wonder they drop their pressures.

[mamalle]

yes that is true along with the diprivan. happens with our kiddos too that get their chemo under it.

[MOOSEMAN]

In Florida I pushed and hung Propofol, In Maine only RNA and MD/Do can push for sedation

[MOOSEMAN]

In Florida I pushed and hung Propofol, In Maine only CRNA and MD/Do can push for sedation

[teeituptom, BSN, RN]

Good stuff really, should be used more often

[originalred]

Attitudes changing on propofol yet??

[tbaytraveler]

Can't push propofol in my ED, the MDs have to, but I have worked with patients recieving this medication hundreds of times, and have never had a problem with it. Also, we do require respiratory to be present when giving it for CS but I have never seen a patient require intubation because of it. Generally they can be bagged through it due to the short duration and they wake up enough at least enough to breath on their own pretty quickly.