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Importance of Using Aseptic Technique with propofol (Dipriva

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Uploaded by on Jun 3, 2008

FDA is alerting healthcare professionals about several clusters of patients who experienced chills, fever, and body aches shortly after receiving propofol for endoscopic procedures. Propofol, which is marketed as Diprivan and also sold generically, is administered IV to induce or maintain general anesthesia and sedation.

The adverse events occurred in several states, and the FDA and CDC are continuing to investigate these reports. To date, there is no evidence that the symptomatic patients had bacterial sepsis, or that the propofol vials or pre-filled syringes were contaminated with endotoxins or bacteria.

Nonetheless, FDA is reemphasizing the importance of handling the drug according to the strict aseptic technique described in the product labeling. Here are several key recommendations:

• Use a vial or pre-filled syringe on only one patient.

• Start giving the propofol immediately after the vial or syringe is opened.

• When using the drug for general anesthesia or monitored anesthesia care sedation, finish administering the drug within six hours after opening the vial or pre-filled syringe. For ICU sedation where propofol is administered directly from a vial, complete administration within 12 hours of spiking the vial. In all cases, discard any remaining drug.

• If a patient develops fever, chills, body aches or other symptoms of acute febrile reactions shortly after receiving propofol, evaluate the patient for bacterial sepsis and treat if necessary.

• Report any adverse events associated with the use of propofol through FDA's MedWatch program.

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  • Wonder if the cardiologist watched this video before he killed Michael Jackson..........FUCKER!

  • I wonder how many people like me they killed after the warning and had to crash.

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All Comments (9)

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  • @Hunkola They do! I don't know how any judge considered it appropriate for a doctor on trial for killing his patient to keep his license; I get tired of people saying "MJ wanted Propofol" Michael Jackson had a drug problem, it was the doctors' ethical duty to try & get him help.

  • @1caninelover -- You make a good point......how is this douchebag still able to practice medicine and make a fat salary after murdering the King of Pop?!? Judges and doctors have way too much power in our society.

  • @Hunkola If this guy had been ANY other healthcare professional (RN, physical therapist, clinical psychologist etc...) his professional license would be long gone. The fact that a judge deemed he could keep his medical license after killing his patient with Propofol, a drug he would have no legitimate way to even get his hands on, convinces me that it is impossible for a doctor to be stripped of his license.

  • I don't think you should be worried. I had an upper GI endoscopy done at Cedars Sinai about 2 years ago and didn't have any after effects with the Propofol. You just go into a very deep sleep right after the anesthesiologist injects it.

  • Ok... should I be worried, now im scared lol. I need to get a colonoscopy and will be given propofol as sedation. Euhhhh!

  • Where was this broadcast? Thanks.

  • Hospitals can get away with anything. If someone slips up during surgery, these pigs are all going to just cover for each other. You know it's true.

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