Hi There,
recently the use of ketamine has renewed the interest of anesthesiologists.
I would like to share with somebody some protocols in the induction of general anesthesia or for sedation in outpatient.
Do you feel the avalaible of BIS strictly mandatory?

Is there anybody who has a particular skill in this field?Sedation or general anesthesia for this kind of operations may be quite different I think.

Hallo everybody italian anestesiolgists.
I`ve an idea for better improvement of our knowledge,practice and cultural grow.
Let´s meet on GASBAG!
We could have an Italian group,discussing and approching with interesting items with teh collegues in the world and make visible italian anesthesia practice.
Dear collegues I´m waiting for you in the ITALIAN ANESTHESIOLOGY GROUP.
Matteo Magro

I've found a great number of postoperative agitation in the elderly patients undergone knee replacement  receiving spinal anesthesia.
Most of them had agitaton and delirium like syndrome in the first 6 hours aftere surgical procedure.
Sometimes sedation using midazolam was not successfull.
I ask if somebody has expeience administring propofol in bolu doses.
Thanks

I'm interested on indications of propofol administration outside the operating room or the ICU.
On my knowledge treatment of opioid induced pruritus,prebention of nausea and vomiting,sedation for delirium or epileptic seizures.
I'm loking for other uses bedside or out of hospital approved indications and new applications fileds.
Thanks
Matteo
matteomagro@tin.it

I've used propofol after surgical intervention of knee prothesis in a patient with confusion and cognitive impairment.
It seemed to me like an episode of delirium.
The patient was at bed and previous attempt to sedate him by administering drugs like diazepam,midazolam,gardenale,failed.
The operation was started at 9 under spinal anesthesia and was performed in 90 minutes.
7 hours later tehe patient was resteless, agitated,and confabulating and tired to get up from the bed.
After the 2 hours og observation at bed I used propofol 100mg (1,7 mg/Kg),without clinical problems and the result was patient was calm .
I 'ld like to know if some analogous report exist in literature and if the other described use off label of propofol,
Thank you for your answer.

Please email me:matteomagro@tin.it