My experience with Diprivan in the prehospital setting has not been positive. It is a negative inotrope and a venodilator. Used as an induction agent in the field it invariably causes hypotension. Its use in the ICU/OR where hemodynamic status is better regulated has proven effective and excellent for use with head injuries. However, I frequently see it used in continuous drip form on patients with compromised cardiac status i.e. cardiogenic shock. It is also very expensive.
