Education and Miscellaneous

Dexmedetomidine and Propofol Sparing

Dexmedetomidine and Propofol Sparing

By Pradip Kamat An ideal sedative would have properties such as short context-sensitive half-life (quick onset, quick offset), elimination independent of organ function with no active metabolites, minimal depression of respiratory or cardiac systems, and inexpensive. Unfortunately, none of the commonly used sedatives used in pediatric procedural sedation are completely ideal. Sedation practitioners, therefore, commonly…

Musings on Allergic Reactions in the Pediatric Sedation Unit

Musings on Allergic Reactions in the Pediatric Sedation Unit

By Sue Kost, MD While preparing a sedation talk for a group of fellows recently, I took a look at the literature around propofol use in kids with food allergy, in particular egg, soy, and peanut allergies. In an old version of a standard sedation talk, I had included a phrase something like “use propofol…