Diferencia entre revisiones de «Propofol»
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==Background== | ==Background== | ||
# | #Rapid onset (90-100 seconds) and short duration (2-8 minute) | ||
==Contraindications== | ==Contraindications== | ||
# | #Allergy to soy or eggs | ||
# | #Hypotension | ||
# | #Aortic stenosis | ||
===Higher Risk=== | ===Higher Risk=== | ||
# | #Pts >55 yr | ||
#Debilitated patients | #Debilitated patients | ||
# | #Pts w/ significant underlying illness (i.e. ASA physical status score III or IV) | ||
##Optimize volume status before administration | |||
==Side Effects== | ==Side Effects== | ||
#Respiratory depression | #Respiratory depression | ||
#Transient hypotension | #Transient hypotension | ||
#Pain at injection site (inject lidocaine IV first) | #Pain at injection site (inject lidocaine 20-40mg IV first) | ||
==Dose== | ==Dose== | ||
# | #Induction = 0.5-1mg/kg IV, followed by 0.5mg/kg every 2-3 minutes as needed | ||
#Small incremental doses (10-30mg) can slowly be administered to effect | #Small incremental doses (10-30mg) can slowly be administered to effect | ||
===Adjunctive medications=== | ===Adjunctive medications=== | ||
# | #Fentanyl or morphine (propofol does not provide analgesia) | ||
#NS for transient hypotension | #NS for transient hypotension | ||
#Lidocaine flush (to reduce injection pain) | #Lidocaine flush (to reduce injection pain) | ||
==Pediatric Population== | ==Pediatric Population== | ||
# | #Same dosing | ||
==See Also== | ==See Also== | ||
Revisión del 19:05 11 jul 2011
Background
- Rapid onset (90-100 seconds) and short duration (2-8 minute)
Contraindications
- Allergy to soy or eggs
- Hypotension
- Aortic stenosis
Higher Risk
- Pts >55 yr
- Debilitated patients
- Pts w/ significant underlying illness (i.e. ASA physical status score III or IV)
- Optimize volume status before administration
Side Effects
- Respiratory depression
- Transient hypotension
- Pain at injection site (inject lidocaine 20-40mg IV first)
Dose
- Induction = 0.5-1mg/kg IV, followed by 0.5mg/kg every 2-3 minutes as needed
- Small incremental doses (10-30mg) can slowly be administered to effect
Adjunctive medications
- Fentanyl or morphine (propofol does not provide analgesia)
- NS for transient hypotension
- Lidocaine flush (to reduce injection pain)
Pediatric Population
- Same dosing