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Intravenous anaesthetic-hypnotic drugs Propofol Pentothal ...

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25/11/2010<br />

<strong>Propofol</strong> / Pharmacodynamics (2)<br />

b. Cardiovascular system<br />

1. A cardiovascular depressant.<br />

2. Produces dose-dependent decreases in<br />

arterial blood pressure and cardiac output.<br />

3. Heart rate is minimally affected, and<br />

barostatic reflex is blunted.<br />

c. Respiratory system<br />

1. Produces a dose-dependent decrease in<br />

respiratory rate and tidal volume.<br />

2. Ventilatory response to hypercarbia<br />

is diminished.<br />

<strong>Propofol</strong> / Administration (1)<br />

a. Induction: 2.0 to 2.5 mg/kg g IV.<br />

b. Sedation: 25 to 75 µg/kg/min by IV infusion is<br />

often sufficient (titrate to effect).<br />

c. Maintenance of general anesthesia:<br />

100 to 150 µg/kg/min IV (titrate to effect).<br />

d. Reduce dosages in elderly or hemodynamically<br />

compromised patients or if<br />

administered with other anesthetics.<br />

7

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