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Anyone ever use propofol in these patients?
There are a spat of studies showing bolusing small doses of propofol can help. I've been angling to do this...and finally did the other day.
This 38 yo F has a history, per the neurologist, of intractable migraines that may be due to PRES she suffered from many months ago. So I'm not totally sure if she had true migraines or some other HA from PRES. Anyway she is in the convalescent phase and for the past few months but still suffering from migraines, and the HA she had yesterday was the same as priors. After ketorolac, compazine, benadryl, and IVF didn't really help (pain still 8/10), I offered to give her small propofol doses and she agreed. The nurse was like "wat you wanna do? you push it" and I was happy to do so.
I looked up a protocol and gave 20 mg IVP q5 minutes up to 120 mg or until her HA went to 0. I ended up giving all 120 mg. She was monitored the entire time, never had a whiff of any problems from propofol. She fell asleep and snored but unfortunately her HA went down to 4/10. But she was happy we tried.
Not a resounding success but I'm willing to try it again. Only problem is I was in there for 30 minutes...
Anybody have success doing this?
There are a spat of studies showing bolusing small doses of propofol can help. I've been angling to do this...and finally did the other day.
This 38 yo F has a history, per the neurologist, of intractable migraines that may be due to PRES she suffered from many months ago. So I'm not totally sure if she had true migraines or some other HA from PRES. Anyway she is in the convalescent phase and for the past few months but still suffering from migraines, and the HA she had yesterday was the same as priors. After ketorolac, compazine, benadryl, and IVF didn't really help (pain still 8/10), I offered to give her small propofol doses and she agreed. The nurse was like "wat you wanna do? you push it" and I was happy to do so.
I looked up a protocol and gave 20 mg IVP q5 minutes up to 120 mg or until her HA went to 0. I ended up giving all 120 mg. She was monitored the entire time, never had a whiff of any problems from propofol. She fell asleep and snored but unfortunately her HA went down to 4/10. But she was happy we tried.
Not a resounding success but I'm willing to try it again. Only problem is I was in there for 30 minutes...
Anybody have success doing this?