Propofol titration for intubated patients
[DOCX File]The Prospect: News from CNDLS
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Short term Propofol, paralytic, or other appropriate bolus sedation will be utilized until sedation drips are available at the bedside and titrated to effect. ... The PICU sedation protocol should be used by default for intubated patients. This provides titration of morphine/versed infusions per sedation score targeted to 2 or less, depending ...
[DOC File]ENTERAL FEEDING: GOAL FEED RATES - ICU RAPID RESOURCE
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1. Dark DS, Pingleton SK. Nutrition and nutritional support in critically ill patients. J Intensive Care Med 8:16-33, 1993 2. Giner M, Laviano A, Meguid MM, et al. In 1995 a Correlation between malnutrition and poor outcomes in critically ill patients still exists. Nutrition 12: 23-29, 1996. 3. Heyland DK.
[DOC File]EMERGENCY MEDICINE GUIDELINES for ACE the ACEM - Home
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Frequent communication with the patient allows titration of the N2O dose for effect. ... ICU studies have found it to be a safe sedative agent in already intubated patients with head injury21. ... A study of conscious sedation with propofol for epileptic patients having dental procedures found no enhanced epileptiform activity or seizures. 35 .
[DOC File]ICU SEDATION GUIDELINES
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There is one study against ICP monitoring for TBI. In 1986, Smith et al. reported a prospective, randomized study of 80 patients with severe head injury (GCS ≤8) (28). All patients were intubated and moderately hyperventilated, ICP was monitored and CT of the head was obtained every 2-3 days.
[DOC File]Policy
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Goal: use no pharmacologic sedation, even in intubated patients, in order not to confound the neurologic exam . If sedation is necessary (severe agitation, intracranial hypertension, ventilatory difficulties) Not intubated: Seroquel 12.5-37.5mg PO Q12h prn. Intubated: Propofol titrated to Riker Score of 4-5. Seizure treatment
[DOC File]National PBM Monograph Template Rev20091005
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The fospropofol dose titration regimen includes: ... of fospropofol for induction and maintenance of general anesthesia or for the induction and maintenance of sedation in intubated, mechanically ventilated patients in the intensive care unit. ... Propofol was used in two patients as an alternative sedative. 5.7% of patients had a MOAA/S score ...
[DOCX File]Nursing Case Studies
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Soon after the CT, Susan became more lethargic with episodes of bradycardia to the 30s, without concomitant hypertension. She was subsequently intubated and given propofol and rocuronium. In addition, 50 grams of mannitol was administered IV. Once intubated, the Propofol infusion was titrated to maintain deep sedation.
[DOC File]Propofol Dosing Guidelines - Stanford University
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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]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.
[DOC File]Vanguard Health Management - Courtemanche & Associates
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Pediatric patients . Patients who are not intubated and mechanically ventilated . Use with caution in. Patients with hyperlipidemia . ... When the pain is adequately controlled, titration of propofol is recommended to achieve the desired level of sedation . Desired Level of Sedation Ordered by Physician (Use Ramsay Sedation Scale) ...
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