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[DOC File]ICU SEDATION GUIDELINES
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Dosing for adult procedural sedation should include a bolus dose (administered by a physician) with either a supplemental bolus dose or a continuous infusion for the duration of the procedure. Suggested initial dosing: ketamine 0.5mg/kg IV over at least 1 minute followed by either a repeat in dose in 5-15 minutes or a continuous infusion of 5 ...
dangers of propofol for colonoscopy

[DOC File]Sedation and Analgesia in the PCCU
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Sedation vacation refers to the practice of holding any sedative infusions daily and restarting them at ½ the original dose. In adult ICUs this practice reduces the duration of ventilation and ICU stay. This practice has not been evaluated in children but is reasonable to consider sedation vacations in older children and adolescents.
is propofol considered moderate sedation

[DOC File]Hypothermia treatment protocol - AANN
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Propofol (Diprivan) (to provide shiver suppression and continuous sedation) Continuous infusion at 20 mcg/kg/min. Titrate by 5-10 mcg/kg/min every 10 minutes . Maintain BIS reading of 40 – 60. Fentanyl (adjunctive therapy for shiver suppression and sedation) Bolus 50 mcg IV push and repeat every 30 minutes until the continuous infusion is ...
is propofol general anesthesia

[DOC File]Vanguard Health Management - Courtemanche & Associates
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Dose requirements of Propofol throughout sedation may be reduced in patients receiving concomitant narcotic therapy and/or those recovering from anesthesia ... May use intermittent bolus injections IV of 0.02 – 0.03 mg/kg every 1-2 Hours OR a continuous infusion of 0.02 – 0.03 mg/kg/hr until reach desired level of paralysis (1 or 2 twitches ...
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[DOC File]National PBM Monograph Template Rev20091005
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On the other hand, bolus or rapid infusion of propofol produces a rapid increase in plasma propofol concentrations and a prompt increase in the depth of sedation. Administration of fospropofol via the proposed dosing regimen sedates patients to a level that is …
propofol titration for intubated patients

[DOC File]Propofol Dosing Guidelines - Stanford University
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H. For sedation, start with an infusion only (no bolus) and titrate to level of wakefulness, respiratory rate, etc. I. Don't turn off the infusion until 5-10 minutes before the operation is finished. J. Once the infusion is off, be prepared to give 1-2 cc boluses of propofol for signs of light anesthesia.
what drug class is propofol

[DOC File]Stanford University
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Propofol, 2,6,-diisopropylphenol, has been in use in the Unites States since November, 1989. Propofol is a low molecular weight (178D) molecule that is virtually insoluble in water and is highly soluble in fat. Propofol is marketed as Diprivan® by Stuart Pharmaceuticals.
propofol icu sedation

[DOC File]ICU SEDATION GUIDELINES
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Due to the risk of respiratory depression and muscle rigidity, bolus injections of remifentanil are not recommended in the ICU setting, especially in non-intubated patients. Titrate the infusion rate in increments of 0.025 mcg/kg/min at intervals of ≥5 minutes to achieve the desired level of analgesia/sedation.
propofol bolus for sedation

[DOC File]QMC Adult Critical Care Induction Manual for Junior ...
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PROPOFOL P Neat, prepared as 10mg/ml A Infusion rate 0 – 30ml/hr ; induction of anaesthesia dose dependent of patients cardiovascular status I SEDATION (First line) M Positive modulation of inhibitory effects of GABA through the GABA- A receptor. ↓oxygen demand S Hypotension, vasodilation, ↓myocardial blood flow.
dangers of propofol for colonoscopy

[DOCX File]www.nyspfp.org
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Prior to any increase in either midazolam or fentanyl infusions, a bolus dose MUST be given. This bolus dose should be equivalent to the current hourly infusion rate. Reassess and document the level of sedation and analgesia every hour. Pain Management: NVPS>3. Initiate Hydromorphone 1 mg IV x1, reassess in 5-15 min. If NVPS≤3 then start 1 mg ...
is propofol considered moderate sedation

Propofol bolus dose icu sedation