Optimization of propofol dose shortens procedural sedation time, prevents resedation and removes the requirement for post‐procedure physiologic monitoring

Abstract

Shorter sedation times are seen with lower doses of propofol. Patients do not need prolonged post-procedure monitoring because the occurrence of spontaneous resedation associated with propofol use is a rare event. This has implications for patient flow and staff resource allocation in a busy ED.

The use of propofol for procedural sedation and analgesia in the emergency department: a comparison with midazolam

“…These findings further supported the proposed recommendation to expand the usage of propofol in the ED setting as well as in the outpatient setting. Other studies have also shown similar outcomes 15 16…”

Is it safe to use propofol in the emergency department? A randomized controlled trial to compare propofol and midazolam

“…There was no significant change found when the data were stratified further to look at the effect of the confounder (sex) on the differences between both propofol and midazolam. Other studies had shown similar patterns of outcome [32, 33]. …”

Procedural sedation practices in Australian Emergency Departments

“…Innovative research and critical appraisal of the literature by Australian EPs provide a local context for PSA. [10][11][12][13][14][15][16][17][18][19][20][21][22] Credentialing processes and competency-based assessments are becoming more widespread 23,24 and some Australian states have linked incentive funding to the establishment of PSA credentialing. Such processes educate staff about patient risk assessment, monitoring requirements, potential complications and the skill mix required for delivering PSA.…”