title: Pediatric procedural sedation with propofol using a higher initial bolus dose.
abstract: OBJECTIVE
  We sought to describe the doses of propofol used for sedation in our pediatric emergency department, along with the range of procedures performed under propofol sedation. We also planned to describe clinically important physiologic changes seen and physician satisfaction with propofol at the doses observed.
  
  
  METHODS
  This was a prospective observational case series. Physicians completed a data collection form after the propofol sedation. The physicians were asked to report physiologic changes that occurred during sedation and rate their satisfaction with propofol as a sedation agent on a 100-mm visual analog scale.
  
  
  RESULTS
  Eight hundred eighty-six sedation events were reported. The median initial dose of propofol given was 2.0 mg/kg and the median total dose was 3.6 mg/kg. Propofol was used for a wide range of procedures. The most common physiologic change was desaturation/hypoxia (desaturation to <90% in 7.2%). No deaths, unplanned intubations, or surgical airway placements were reported. Treating physicians reported a median satisfaction score of 97 mm.
  
  
  CONCLUSIONS
  A 2-mg/kg initial bolus dose of propofol for pediatric sedation was well tolerated and useful for a wide range of procedures. Physicians should expect to find a high level of satisfaction with this dose.
authors.affiliation: From the Division of Pediatric Emergency Medicine, Department of Emergency Medicine, Loma Linda University Children's Hospital, Loma Linda, CA.
authors.forename: Timothy P
authors.initials: TP
authors.lastname: Young
authors.forename: Jennifer J
authors.initials: JJ
authors.lastname: Lim
authors.forename: Tommy Y
authors.initials: TY
authors.lastname: Kim
authors.forename: Andrea W
authors.initials: AW
authors.lastname: Thorp
authors.forename: Lance
authors.initials: L
authors.lastname: Brown
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D054810:Deep Sedation / Q000379:methods*; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage*; D007223:Infant; D008297:Male; D015742:Propofol / Q000008:administration & dosage*; D011446:Prospective Studies; D055815:Young Adult
chemical_list: D006993:Hypnotics and Sedatives; D015742:Propofol