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Comment & Response |

The Safe Use of Propofol

Richard M. Pino, MD, PhD1,2
[+] Author Affiliations
1Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital and Harvard Medical School, Boston
2Surgical Intensive Care Unit, Massachusetts General Hospital and Harvard Medical School, Boston
JAMA Intern Med. 2016;176(1):140. doi:10.1001/jamainternmed.2015.7198.
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To the Editor In a recent article in JAMA Internal Medicine, Worsham et al1 present a patient who had a delayed extubation in an intensive care unit (ICU) following cardiac catheterization. The disadvantages of mechanical ventilation for times longer than medically indicated and the need for effective communication between caregivers are nicely stated. However, the comment that propofol is considered safe for procedural analgesia and sedation needs clarification in the context of procedures in the ICU.

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January 1, 2016
Christopher Worsham, MD; Anthony C. Breu, MD
1Boston University Internal Medicine Residency, Boston, Massachusetts
2Veterans Affairs Boston Healthcare System, Boston, Massachusetts3Harvard Medical School, Boston, Massachusetts
JAMA Intern Med. 2016;176(1):140. doi:10.1001/jamainternmed.2015.7201.
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