Propofol infusion syndrome criteria
[DOCX File]NYSPFP
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High dose propofol (> 50 mcg/kg/minute for > 48 hours) may cause propofol infusion syndrome. Propofol related infusion syndrome (PRIS) is characterized by metabolic acidosis, hypotension, bradyarrhythmias, lipemia, rhabdomyolysis, and cardiac failure. If suspect PRIS, propofol should be stopped immediately and an alternative sedative agent be ...
[DOCX File]Eprints
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Exclusion criteria included emergency or previous cardiac surgery, morbid obesity, pre-existing renal or pulmonary dysfunction and evidence of existing cognitive impairment. All patients provided written, informed consent. Anaesthesia was induced with Midazolam, Fentanyl and Pancuronium and maintained during CPB using a Propofol infusion.
[DOC File]SAQ PAPER October 2005 .uk
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A twenty year old man is kite surfing and is catapulted into a shallow water landing on his head. He was RSI’d with etidominate and suxamethonium as his GCS was less than eight, is fully immobilized, has had 2 litres of fluid, and is now on a propofol infusion. His observations are: Pulse 55 BP 90/60
[DOC File]QMC Adult Critical Care Induction Manual for Junior ...
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Propofol Infusion Syndrome ( CHECK Triglycerides after 48 hours use), green urine MIDAZOLAM P 50mg in 50 ml NaCl or 100mg in 50 ml NaCl A 0 – 10 ml/hr I SEDATION CO-INDUCTION SEIZURE CONTROL M Benzodiazepine; Enhance actions of GABA and GABA-A receptors, leading to neuronal inhibition S Retrograde amnesia, Delirium ,Respiratory depression ...
[DOCX File]Post-Cardiac Arrest Care / Induced Hypothermia Pathway ...
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Propofol IV infusion (1000mg/100ml). If using BIS monitor, titrate meds to keep BIS 40-60. Administer per ICU protocol. Max rate of 80 mcg/kg/min. Note: Propofol interferes with measurement of aPTTs. Please consider this when ordering propofol on patients already on heparin and use Factor Xa levels to monitor anticoagulation
[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 …
[DOCX File]WordPress.com
https://info.5y1.org/propofol-infusion-syndrome-criteria_1_87cd3c.html
Then use Droperidol. D2 (dopamine) receptor antagonist at the Chemoreceptor Trigger Zone (CTZ). Can be just as effective as 5HT receptor antagonist. There are side effects – EPSE, sedation at high doses, neuroleptic malignant syndrome. Dose 0.25 – 0.5mg 8hrly.
[DOC File]EKG COURSE HANDOUT 2006 - CMC COMPENDIUM
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propofol infusion syndrome (with high-dose propofol): QRS narrow; acidosis, rhabdo, ARF, hyperkalemia, hypertriglyceridemia, high risk of VT-VF and sudden death. right ventricular pathology or injury. Terminal positivity of QRS (terminal notch) and hammock-shaped ST elevation “Early repolarization” (normal variant) best seen in V4
[DOC File]Carolinas Medical Center – MERCY - CMC COMPENDIUM
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Propofol – Start infusion at 10 mcg/kg/min; For titration: Increase rate by 10 mcg/kg/min (May titrate infusion every 5 mins) for RASS -4; Notify provider if infusion rate is 50 mcg/kg/min OR for 5 rate increases in 24 hours; Check Triglyceride level according to Code Cool Firstnet PowerPlan (or similar orderset if not using Cerner).
[DOCX File]Lippincott Williams & Wilkins
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29.Berg J Van Den, Eleveld D, Smet T De, Heerik A Van Den, Amsterdam K Van, Lichtenbelt B, Scheeren T, Absalom A, Struys M: Influence of Bayesian optimization on the performance of propofol target-controlled infusion. Br J Anaesth 2017; 119:918–27
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