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Clinical Pediatrics, Vol. 40, No. 12, 663-671 (2001)
DOI: 10.1177/000992280104001204

Use of Propofol Sedation in a Pediatric Emergency Department: A Prospective Study

Elisabeth Guenther Skokan, MD, MPH

Department of Pediatrics, Division of Pediatric Emergency Medicine, Primary Children's Medical Center, University of Utah School of Medicine, Salt Lake City, Utah

Charles Pribble, MD

Department of Pediatric Anesthesia and Critical Care, Primary Children's Medical Center, University of Utah School of Medicine, Salt Lake City, Utah

Kathlene E. Bassett, MD

Douglas S. Nelson, MD

Department of Pediatrics, Division of Pediatric Emergency Medicine, Primary Children's Medical Center, University of Utah School of Medicine, Salt Lake City, Utah

The purpose of this study was to determine the efficacy and safety of propofol sedation for pediatric procedures in the emergency department. For patients needing painful procedures, propofol was administered intravenously. Vital signs, complications, and time to recovery were recorded. Patient amnesia and parent, patient, and operator satisfaction with sedation were assessed. The mean age was 7.4 years; 65% were male. Most underwent fracture reduction. Mean total dose was 3.3 mg/kg. Thirty percent experienced desaturation. One required assisted ventilation. Most had decreases in blood pressure. Mean recovery time was 18 minutes. Satisfaction with sedation was rated "excellent." Propofol was an effective sedation with minimal complications in the emergency department setting.


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