Propofol

Background

1. Rapid onset (90-100 seconds) and short duration (2-8 minute)

Contraindications

1. Allergy to soy or eggs
2. Hypotension
3. Aortic stenosis

Higher Risk

1. Pts >55 yr
2. Debilitated patients
3. Pts w/ significant underlying illness (i.e. ASA physical status score III or IV)
   1. Optimize volume status before administration

Side Effects

1. Respiratory depression
2. Transient hypotension
3. Pain at injection site (inject lidocaine 20-40mg IV first)

Dose

1. Induction = 0.5-1mg/kg IV, followed by 0.5mg/kg every 2-3 minutes as needed
2. Small incremental doses (10-30mg) can slowly be administered to effect

Adjunctive medications

1. Fentanyl or morphine (propofol does not provide analgesia)
2. NS for transient hypotension
3. Lidocaine flush (to reduce injection pain)

Pediatric Population

1. Same dosing

See Also

Procedural Sedation