Annals of Emergency Medicine
Volume 52, Issue 4 , Pages 392-398, October 2008

Barriers to Propofol Use in Emergency Medicine

  • Steven M. Green, MD

      Affiliations

    • Department of Emergency Medicine, Loma Linda University Medical Center & Children's Hospital, Loma Linda, CA
    • Corresponding Author InformationAddress for correspondence: Steven M. Green, MD, Loma Linda University Medical Center A-108, 11234 Anderson Street, Loma Linda, CA 92354; 805-969-2144, fax 775-307-4121
    • ,
  • Baruch Krauss, MD, EdM

      Affiliations

    • The Division of Emergency Medicine, Children's Hospital and Harvard Medical School, Boston, MA

Received 21 October 2007; received in revised form 10 November 2007 and 26 November 2007; accepted 3 December 2007. published online 25 February 2008.

Propofol is rapidly becoming one of the most popular procedural sedation and analgesia agents in emergency medicine. However, in many hospitals emergency physicians lack access to this potent sedative. This article details the evidence and politics underlying this area of controversy, the nature and authority of hospital-wide sedation policies, and discussion of the most common criticisms of emergency department use of propofol.

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 Supervising editors: Donald M. Yealy, MD; Michael L. Callaham, MD

 Dr. Yealy and Dr. Callaham were the supervising editors on this article. Dr. Green did not participate in the editorial review or decision to publish this article.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article, that might create any potential conflict of interest. The authors have stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. Dr. Krauss is a paid consultant of Oridion, Inc., a capnography manufacturer.

 Publication dates: Available online March 4, 2008.

 Reprints not available from authors.

PII: S0196-0644(07)01851-3

doi:10.1016/j.annemergmed.2007.12.002

Annals of Emergency Medicine
Volume 52, Issue 4 , Pages 392-398, October 2008

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