Is propofol better than general anesthesia?

Patients who received propofol for general anaesthesia experienced less pain post-operatively. Patient satisfaction, as a relevant patient-reported outcome measure, was significantly in favour of propofol as suggested by a higher number of satisfied patients as well as better satisfaction scores.

Is propofol the same as general anesthesia?

Propofol is used as an “induction agent”—the drug that causes loss of consciousness— for general anesthesia in major surgery. In lower doses it is also used for “conscious sedation” of patients getting procedures on an outpatient basis at ambulatory surgery centers.

What is the safest anesthesia for surgery?

The safest type of anesthesia is local anesthesia, an injection of medication that numbs a small area of the body where the procedure is being performed. Rarely, a patient will experience pain or itching where the medication was injected.

Why Propofol is preferred?

Propofol has many of the properties of an ideal anesthetic induction drug and is popular because it rapidly and smoothly induces anesthesia without airway irritation and results in a rapid recovery with an infrequent incidence of early PONV¹⁸² and a clear head.

Which is better general anesthesia or sedation?

IV sedation does cause partial memory loss, and patients will not remember any of their procedure. Recovery is fast and patients will be back to their routine quickly. IV sedation is a safer option compared to general anesthesia.

How does anesthesia work? - Steven Zheng

Does propofol require an anesthesiologist?

“Whenever propofol is used for sedation/anesthesia, it should be administered only by persons trained in the administration of general anesthesia, who are not simultaneously involved in these surgical or diagnostic procedures.

How long does propofol stay in your system?

The elimination half-life of propofol is approximately 0.5 h to 1.5 h. This drug has a very fast clearance and therefore can be administered as a continuous infusion or as multiple boluses without any accumulative effects.

What are the disadvantages of propofol?

Propofol has some disadvantages, however, including pain on injection, involuntary movements, transient apnea, and hypotension after induction of anesthesia.

Who Cannot use propofol?

You should not use propofol if you are allergic to it, or if you have: allergies to peanuts, eggs, egg products, soybeans or soy products.

When should propofol not be used?

Use of this medicine to induce anesthesia in children younger than 3 years of age and to maintain anesthesia in children younger than 2 months of age is not recommended. Safety and efficacy have not been established in children for other approved conditions.

Do you breathe on your own under general anesthesia?

Do you stop breathing during general anesthesia? No. After you're unconscious, your anesthesiologist places a breathing tube in your mouth and nose to make sure you maintain proper breathing during the procedure.

Should I be scared of general anesthesia?

While it's normal to fear the unknown, it is also important to understand the facts—and the fact is that mortality rates associated with general anesthesia are quite low, particularly for cosmetic surgery procedures. Overall, general anesthesia is very safe, and most patients undergo anesthesia with no serious issues.

What type of anesthesia is propofol?

Propofol is an intravenous anesthetic used for procedural sedation, during monitored anesthesia care, or as an induction agent for general anesthesia.

Is propofol a safe anesthesia?

Propofol is the most commonly used intravenous anesthetic drug in the United States today. In the hands of trained anesthetic professionals, propofol is very safe. Propofol in always injected directly into an intravenous line, and the onset of sedation occurs within seconds.

Is propofol considered deep sedation?

The use of propofol increases the success of satisfactory deep sedation, but it can produce rapid and profound decreases in level of consciousness and cardiorespiratory function. Data are needed to assess the safety of this drug outside an anesthesiology setting.

Can propofol be used for conscious sedation?

Propofol (2,6-diisopropyl phenol) is an intravenous anesthetic agent that is often used in conjunction with other agents, such as nitrous oxide and muscle relaxants, for general anesthesia. However, when used in lower doses, it induces conscious sedation. There are several advantages of propofol.

What is an alternative to propofol?

Fospropofol (Lusedra®) is a water-soluble, non-pyrogenic, iso-osmotic pro-drug sedative-hypnotic agent that is metabolized to propofol, and, if dosed appropriately, may be an alternate drug selection to propofol in some patients undergoing monitored anesthesia care (MAC).

Do you stop breathing with propofol?

What side effects does propofol have? It can cause a decrease in blood pressure, it can depress or even stop breathing, and it can cause pain on injection.

How will I feel after propofol?

Patients sedated with propofol rarely complain of feeling "drugged" and more often remark that they feel as if they had a great nap. While fentanyl and other opioid-type drugs may cause nausea, particularly at higher doses, this is rare with propofol.

How fast does propofol work?

Propofol works quickly; most patients are unconscious within five minutes. "When the procedure is over and we stop the intravenous drip, it generally takes only 10 to 15 minutes before he or she is fairly wide awake again.”

How does propofol affect the brain?

In the unconscious state, propofol sharply reduces the regional glucose metabolism rate (rGMR) and regional cerebral blood flow (rCBF) in all brain regions, particularly in the thalamus.

Can propofol cause brain damage?

Using propofol at a recommended or higher dose for anaesthesia may lead to the cognitive defects, attributed to hippocampal neuroapoptosis and the overexpression of pro-inflammatory cytokines in the brain.

How does propofol put you to sleep?

The researchers found that propofol restricted the movement of a key protein — syntaxin1A — that's required at the synapses of all neurons. That lowers communication between brain neurons.

Can you drive after propofol?

Propofol sedation is increasingly being used for endoscopy in the outpatient setting. Patients are advised not to drive themselves home after endoscopic procedures that involve propofol sedation, and to refrain from driving or taking public transportation unassisted for at least 24 hours.

Is propofol a narcotic?

Propofol is not scheduled under the Controlled Substances Act (CSA).