Propofol infusion for the retrieval of the acutely psychotic patient.
Transporting acutely psychotic patients is hazardous because of the risks they present to themselves, escorting staff, and aircraft. Various strategies have been proposed, usually involving combinations of sedating drugs and physical restraint. Thus far, none guarantees safe retrieval while completely mitigating risks. This case proposes the use of propofol as an alternative to more traditionally used agents. An infusion facilitated the uneventful and safe retrieval of a patient who had demonstrated resistance and tolerance to other drugs. Discussion is also presented on the potential utility of propofol for the retrieval of acutely psychotic patients.
Lyell McEwin Hospital, Intensive Care Unit, Elzabeth Vale, Australia. richard.chalwin@health.sa.gov.au
Richard
R
Chalwin
D017732:Air Ambulances; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001569:Benzodiazepines / Q000627:therapeutic use; D002998:Clonazepam / Q000627:therapeutic use; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage*; D007262:Infusions, Intravenous; D008297:Male; D008874:Midazolam / Q000627:therapeutic use; D008875:Middle Aged; D000077152:Olanzapine; D010349:Patient Compliance / Q000523:psychology; D015742:Propofol / Q000008:administration & dosage*; D011618:Psychotic Disorders / Q000188:drug therapy*; D012149:Restraint, Physical; D012559:Schizophrenia / Q000188:drug therapy
D014150:Antipsychotic Agents; D006993:Hypnotics and Sedatives; D001569:Benzodiazepines; D002998:Clonazepam; D000077152:Olanzapine; D008874:Midazolam; D015742:Propofol