Subscriptions

Advertising

Resources

About Us

Contact Us

Create An Account Forgot Your Password?
Trouble logging in or creating an account? click here
Home This Month E-Weekly Newsletter Building a Facility Article Archive Second Opinions
Search:
Benchmarking
General Surgery
Accrediting/Quality
Anesthesia
Code/Bill/Reimburse
Building/Renovating
/_media/adv/web/images/2011/20110124_ImageFirst_LB-154x100.gif
/_media/adv/web/images/2012/20120322_Soma_LB-154x100.gif
/_media/adv/web/images/2011/20111003_Ansell_LB-154x100.gif
/_media/adv/web/images/2012/20120426_PDI_LB-154x100.gif
Outpatient Surgery E-Weekly

Malpractice Verdicts Often Favor Physicians

Physicians come out on the winning end of 80% of malpractice claims that end in jury verdicts, according to researchers at Massachusetts General Hos...

Study: CT Colongraphy Effective in Finding Polyps

A CT-scan-based, laxative-free "virtual colonoscopy" may be as effective as standard colonoscopy in finding potentially cancerous polyps, according ...

Wrong-Site Prevention Video Shows the Right Way

Wrong-site, wrong-patient and wrong-procedure surgery must be prevented at all costs. The 3 steps of the Joint Commission's Universal Protocol make ...

Archive > November, 2005 Vol. VI, No. 11

Letters & Emails

Propofol Sedation a Slippery Slope

Re: "Dueling Over Propofol" (October, page 32). The question isn't whether propofol is a sedative or a general anesthetic. You can use many drugs, including Versed alone, to induce general anesthesia. The definition of where a patient lies on the continuum from mild sedation to general anesthesia is irrespective of what medicine you administer and what airway management you utilize. Propofol quickly spans the entire spectrum, and if you use it under the guise of "conscious sedation," there will be innumerable patients who are indeed under general anesthesia - but with a callous disregard for airway protection. There is a prevalent misperception that it isn't general anesthesia if the patient isn't intubated. I would suggest that a study using a level-of-consciousness monitor would demonstrate the disparities in the level of sedation.

Jonathan McMullen, MD
Medical Director, Shoreline Surgical Center
Guilford, Conn.
writeMail("mullymd@comcast.net")

Sign in to continue reading.
Email Address:
Password:
Categories: Op-Ed/Letters/Email
Keywords:
Jonathan McMullen, MD; Linda A. Terzigni, RN, BSN, CNOR; Susan Anello, RN, BSN, CPSN, CNOR; Deborah McMillin, RN, MSN; Charles J. McGaff, Jr., MD, MBA, FACS; AORN; Deborah; IV; Position Statement; Proof; Propofol; RN; Shaving Proof; Statement; Versed; administer; administering; airway; anesthesia; anesthesiologist; avoid; bacterial; benefit; bourbon; callous; cases; challenged; completely; concerns; conscious; continuum; cost-effective; criteria; definition; demonstrate; determine; director; disparities; disregard; education; entire; evidence; expertise; find; general; giving; guise; hard; hun... show all keywords
Jonathan McMullen, MD; Linda A. Terzigni, RN, BSN, CNOR; Susan Anello, RN, BSN, CPSN, CNOR; Deborah McMillin, RN, MSN; Charles J. McGaff, Jr., MD, MBA, FACS; AORN; Deborah; IV; Position Statement; Proof; Propofol; RN; Shaving Proof; Statement; Versed; administer; administering; airway; anesthesia; anesthesiologist; avoid; bacterial; benefit; bourbon; callous; cases; challenged; completely; concerns; conscious; continuum; cost-effective; criteria; definition; demonstrate; determine; director; disparities; disregard; education; entire; evidence; expertise; find; general; giving; guise; hard; hunk; imagine; immediately; including; increases; induce; innumerable; irrespective; level; level-of-consciousness; lies; load; logic; management; manager; medicine; met; mild; misperception; monitor; monitoring; necessarily; nurse; nursing; offensive; operative; page; patient; patients; people; person; position; post-operative; prevalent; print; procedure; propofol; provide; providing; qualified; question; quickly; razor; reduce; responsible; ridiculous; safe; sedation; sedative; sharp; shaving; small; solely; standard; state; study; suggest; suggestion; support; surgical; translate; understand; ways; wood; working; wound

© Copyright Herrin Publishing Partners LP. REPRODUCTION OF THIS COPYRIGHTED CONTENT IS STRICTLY PROHIBITED. We encourage LINKING to this content; view our linking policy here.

PRODUCT & SERVICE RESOURCES
Did You See This?
A showcase of products and services geared to make your facility better.

Architects' Showcase
Is a beautiful, efficient new facility in your future?
/_media/adv/web/images/2012/20120430_KenQuest_AR-300x250.gif
Other Articles That May Interest You