Re: (no subject)

["Marc Manley" <flightrn258@alltel.net>]

     I would have to agree with Rick with regard to utilizing Diprivan in
the rotor wing transport environment.  In my personal experience, it is a
great drug in the ICU where stimulation and pt. movement is at a minimum.
In the transport environment, with all of the added stimulation, numerous
patient movements, etc., it typically is not as effective as other sedation
protocols such as Norcuron/Versed.
     In addition, we also do not carry it but can maintain it throughout
transport at the flight teams discretion.
God luck,
Marc

       ----- Original Message -----
From: <RAS119@aol.com>
To: <flightmed@flightweb.com>
Sent: Thursday, October 23, 2003 7:22 PM
Subject: Re: (no subject)


> I can tell you, from my expierence, propofol is awful for txport purposes.
> It works quite well in a nice quite ICU where it can be titrated
effectively,
> but once a pt. is moved around, coupled with the inherent noise issues of
a
> helicopter, fixed wing, or even ground ambulance it becomes ineffective.
Also,
> its quite viscous and our minimed pumps do not seem to agree with it.  We
don't
> carry it, but run in to it often on interfacility txports.  I generally
use
> versed and vecuronium for the duration of our txprt.  Just my two cents.
>
> Rick Sokolnicki  Emt-P
> CareFlite
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