ISMP collects and analyzes thousands of medication error and adverse event reports each year, including through its voluntary ISMP National Medication Errors Reporting Program (ISMP MERP), National Vaccine Errors Reporting Program (ISMP VERP), and consumer medication error reporting program (ISMP C-MERP).ISMP issues alerts through its many communication channels to share emerging information on errors happening across the nation, “lessons learned,” and prevention strategies with the entire healthcare community.
The patient had a low pain tolerance and thus requested sedation and analgesia for any manipulation of his foot.
Ten minutes later, the patient developed acute cough with moderate quantity hemoptysis.
Arterial blood gas analysis showed p H of 7.35, Pa O2 44mm Hg, Pa CO2 42mm Hg and Sa O2 76%.
This report emphasizes the importance of this potentially fatal propofol-associated complication and discusses possible underlying mechanisms and related literature.
It is commonly used for induction of anesthesia in the operating room, as routine sedation in the intensive care setting, and also for procedural sedation in the emergency department (ED).
He had a Mallampatti score of 1 and an American Society of Anesthesiologists (ASA) classification of 1.