Increasingly prevalent drug shortages harm patients
#1 Sep 9, 2010
Nobody wants to make propofol for liability reasons. Its basically solubilized in egg products and the stuff starts to rot if not used within, say 24 hours. Properly used (means single use) propofol is safe when administered by an anesthesiologist. My degree is in pharmacology and I know a little about anesthesia and a lot about drugs. Progress in sedation drugs has been glacially slow. Propofol is one of the only fairly new drugs that has really improved sedation/anesthesia as well as being used for many other off-label applications. I personally hate sedation becasue of a bad esperience with midazolam/fentanl, the most commonly used sedation combo in the USA. My doc and I work in the same hospital and she has been hounding me to get a colonoscopy (aka brain scan) for years. Finally, she just scheduled me for one with propofol and I had to agree; with propofol it's a non-event. After dong the prep and pooping my brains out i report for the exam only to find out that they have no propofol, no anesthesiologist, only a nurse (CRNA) who wants to substitute lesser drugs that she doesn't understand how to use. Guess what? No test for me.
#2 Oct 18, 2013
CRNA doesn't how to use versed/fent? Typical clueless pharmacist, the ultimate career for people with zero personality.
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