Utilization of Ketamine, Midazolam and Low Dose Propofol for Conscious Sedation; A Safe and Effective Alternative

Jay M. Pensler

Division of Plastic Surgery, Northwestern University Feinberg School of Medicine, USA

^*Correspondance to: Jay M. Pensler 

 PDF  Full Text DOI: 10.25107/2474-1647.1354

Abstract

Conscious sedation is defined as a technique of administering sedatives or dissociative agents with or without analgesics to induce a state that allows the patient to tolerate unpleasant procedures while maintaining cardio respiratory function. Conscious sedation requires careful titration of the agents involved in conjunction with continuous monitoring of the patient. Over the last fifteen years we have transitioned from the use of two agents; Ketamine and Midazolam to the use of three agents; Ketamine, Midazolam and low dose Propofol for conscious sedation. The inclusion of low dose Propofol infusion (25 mcg/kg/min) has resulted in a significant decreased recovery time and nausea. In an attempt to understand the etiology of the enhanced recovery we reviewed the quantity of the agents used during sedation in this study.

Keywords

Ketamine; Midazolam; Conscious sedation

Cite the article

Pensler JM. Utilization of Ketamine, Midazolam and Low Dose Propofol for Conscious Sedation; A Safe and Effective Alternative. Clin Surg. 2017; 2: 1354.