Procedural sedation with propofol vs. midazolam/ketamine for painful manipulation in ER

Study Type:Therapy

OE Level Evidence:2

Journal Level of Evidence:N/A

Procedural Sedation with Propofol for Painful Orthopaedic Manipulation in the Emergency Department Expedites Patient Management Compared with a Midazolam/Ketamine Regimen

J Bone and Joint Surg Am; 2011; 93: 2255-2252

Contributing Authors: Ofir Uri Eyal Behrbalk Amir Haim Ehud Kaufman Pinchas Halpern

Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here

Synopsis

Sixty adults with orthopaedic injuries requiring painful manipulation were randomized to receive either propofol or midazolam/ketamine. Results indicated that the average recovery time and total sedation time were significantly shorter in patients who received propofol in comparison to those who received midazolam/ketamine. Patients in the propofol group had higher rates of adverse events; however...