Propofol in obese patients
[DOC File]ICU SEDATION GUIDELINES
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Prolonged sedation likely in obese patients or >72 hour infusion. Average cost $18.6/24 hr (@ 5mg/hr) Diazepam
[DOCX File]Jay wayne porter - Home
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Propofol is a relaxing agent given to patients who are going to receive anesthesia for surgical procedures. Propofol provides significant amount of calories as lipids so it should be included within the nutrition prescription. Mr. Perez’s dose of Propofol supplied 924 kcals.
[DOCX File]Appendix - Lippincott Williams & Wilkins
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Propofol used on all patients; opioids used at the nurse's discretion. 395 Obese subjects were more likely to have longer procedure times, episodes of SpO2
[DOC File]Propofol Dosing Guidelines
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D. Titrate the propofol infusion rate, not the ketamine infusion rate. If the patient seems to require a lot of propofol, give 25-50 µg fentanyl boluses. F. As with propofol, the ketamine infusion rate was designed for adults of average weight (60-80 kg). Adjust upward or downward for larger or smaller patients.
[DOC File]Chapter 22 Review Question Answers
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ML is a morbidly obese patient with a history of prolonged recovery times after general anesthesia. In order to provide a shorter recovery time, you recommend an agent that has the lowest oil:gas partition coefficient to decrease the amount of anesthetic being sequestered in the patient’s adipose tissue.
[DOC File]RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,
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Patients will be randomly allocated to one of two groups. In group A or propofol group, the patients will be preoxygenated for three minutes. Anaesthesia is induced with propofol 2.5mg/kg, when the patients will be deeply anaesthetized or when the eyelash reflexes are lost, an appropriate size of LMA will be introduced.
[DOC File]Lippincott Williams & Wilkins
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The effective effect-site propofol concentration for induction and intubation with two pharmacokinetic models in morbidly obese patients using total body weight. Anesth Analg 2012;115:823-9 Sepulveda PO, Mora X. Reevaluation of the time course of the effect of propofol described with the Schnider pharmacokinetic model.
[DOC File]Critical care dietetic pathway - British Dietetic Association
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Check ventilation status, ECMO, Propofol, CRRT (and CiCa CRRT) to consider whether targets need to be re-calculated. CiCa CRRT calculation is an estimate only, current advice is not to include it in energy target calculations, only to be aware of it if patient is also on high dose Propofol. Patients may be underfed further if this is included.
[DOCX File]GOV.UK
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It has been reported that the clearance of propofol is slower in overweight/obese animals and dogs over 8 years of age. Extra care should be taken when administering the product to these animals; in particular, a lower dose of propofol may be adequate for induction and maintenance in such cases.
[DOCX File]Lapses in Treatment - Canicatti's ELA
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One in three Americans is obese, a rate that has been steadily growing for more than two decades, but the health care system — in its attitudes, equipment and common practices — is ill prepared, and its practitioners are often unwilling, to treat the rising population of fat patients.
[DOC File]ICU SEDATION GUIDELINES
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Starting doses of remifentanil should be based on ideal body weight (IBW) in obese patients (actual body weight [ABW] > 130% IBW) (3). 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.
[DOC File]Should dosing of sugammadex in morbidly obese patients be ...
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Sugammadex is a water-soluble molecule. Overdosing is possible when dosed on Total Body Weight in obese patients. Methods. Morbidly obese patients scheduled for laparoscopic bariatric surgery under propofol-sufentanil anaesthesia, were randomized into three groups : ideal body weight (IBW), IBW + 20% and IBW + 40%.
[DOCX File]Scenario Run Sheet: Template - Smashing the Fellowship in ...
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A morbidly obese woman presents in respiratory distress due to swine flu with superadded pneumonia. Weight 220kg. Requires IV abx, Tamiflu and intubation with consideration of ramping/short handled largngoscope/measures to prevent atelectasis and hypoxia/appropriate dosing and ventilator settings with consideration of lean body weight dosing ...
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