What specialties are talking about using propofol?

[rahul_99]

Hi

What other specialties / physicians would be keen on using propofol to administer sedation?

If there is an FDA approved propofol dispensing machine with the right physiological monitoring equipment that automatically regulates propofol flow, what procedures do you think (at least 5) would be most attractive to target, that are currently unattractive to anesthesiologists?

[traumaRUs, MSN, APRN]

Great topic! I'm an ER RN (not CRNA). We have a board-certified anesthesiologist who does a shift/month in our level one trauma center. Hmmm five procedures:

conscious sedation to replace dislocated shoulder

conscious sedation for procedures

maintenance of sedation for intubated ER patients - in this day and age we hold in our ER up to 20 hours! Difficult to keep even sedation throughout this wait

Well - there are three procedures right off the bat...what do you think? Wanna come work with us??? Awwwhhhh central Illinois in the summer - hot, humid but we are a fun bunch to work with!

[NCgirl]

GI lab, Cath lab, Specials in radiology......I can see all of these places itching for the "right" to use propfol without us around to manage their airways when the patients quit breathing.

[loisane]

Hi

What other specialties / physicians would be keen on using propofol to administer sedation?

If there is an FDA approved propofol dispensing machine with the right physiological monitoring equipment that automatically regulates propofol flow, what procedures do you think (at least 5) would be most attractive to target, that are currently unattractive to anesthesiologists?

I guess you are asking a very hypothetical question, because such a machine is pure science fiction.

If they could replace us with a machine, it would have already been done! LOL

Seriously, propofol for an intubated, ventilated patient is fine. Anything else needs a qualified anesthesia provider. Doesn't matter if you call it conscious sedation, general anesthesia or flying to the moon. That white stuff is trickier than it looks, no matter what anybody tells you.

No patient in need of anesthesia/sedation should be considered "unattractive". If you can't get an anesthesia provider, maybe you are asking the wrong person. Ask a CRNA. Both providers are in short supply, and we can't cover everywhere. But there are lots places where CRNAs are covering cases that 'ologists are not interested in covering, for whatever reason.

loisane crna