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Review 7: Clinical Practice Guideline for Emergency Department Procedural Sedation With Propofol: 2018 Update

Reviewer

Rana Abualsaud, MD

New York Presbyterian Hospital Cornell/Columbia, Department of Emergency Medicine, Weill Cornell School of Medicine, New York, NY

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1. Article Citation
2. Synopsis
3. ABEM Quick Quiz
4. Discussion
   1. Contraindications
   2. Higher-Risk Patients
   3. Personnel
   4. Pharmacology of Propofol Administration
   5. Clinical Effect of Propofol Administration
   6. Interactive and Mechanical Monitoring
   7. Potential Adverse Effects
   8. Recovery and Discharge
5. Critique
6. ABEM Quick Quiz Answers
7. Key Points
8. Table
   1. Table 1. Guideline-Recommended Propofol Dosing
9. Original Article

Article Citation

Miller KA, Andolfatto G, Miner JR, et al. Clinical practice guideline for emergency department procedural sedation with propofol: 2018 update. Ann Emerg Med. 2019;73(5):470-480.

Synopsis

This 2018 guideline update on the use of propofol for procedural sedation provides a revision of the 2007 guideline, based on new evidence that has been published in the interim. This update sought to provide focused recommendations on the considerations of propofol use in children, identify the updated literature on its safety, and provide recommendations on the coadministration of propofol and other medications commonly used in procedural sedation, such as ketamine or fentanyl.

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