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    PDF TCI

    Uploaded by

    David Cabrera
    The document outlines the steps for sedation using a target controlled infusion pump. It describes an initial phase where propofol is increased in increments and sedation is assessed. If the patient remains undersedated, a titration phase increases the propofol every 2 minutes up to a maximum. Alfentanil boluses are given if sedation is still not adequate. The infusion is then reduced and stopped when complete recovery occurs. Adverse events require immediately stopping the infusion.

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    Download as PDF, TXT or read online from Scribd

    PDF TCI

    Uploaded by

    David Cabrera
    53 views1 page
    The document outlines the steps for sedation using a target controlled infusion pump. It describes an initial phase where propofol is increased in increments and sedation is assessed. If the patient remains undersedated, a titration phase increases the propofol every 2 minutes up to a maximum. Alfentanil boluses are given if sedation is still not adequate. The infusion is then reduced and stopped when complete recovery occurs. Adverse events require immediately stopping the infusion.

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    Target controled infusion

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    pdfTCI

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    The document outlines the steps for sedation using a target controlled infusion pump. It describes an initial phase where propofol is increased in increments and sedation is assessed. If the patient remains undersedated, a titration phase increases the propofol every 2 minutes up to a maximum. Alfentanil boluses are given if sedation is still not adequate. The infusion is then reduced and stopped when complete recovery occurs. Adverse events require immediately stopping the infusion.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    53 views1 page

    PDF TCI

    Uploaded by

    David Cabrera
    The document outlines the steps for sedation using a target controlled infusion pump. It describes an initial phase where propofol is increased in increments and sedation is assessed. If the patient remains undersedated, a titration phase increases the propofol every 2 minutes up to a maximum. Alfentanil boluses are given if sedation is still not adequate. The infusion is then reduced and stopped when complete recovery occurs. Adverse events require immediately stopping the infusion.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    TCI Sedation Flowsheet

    Apply patient monitoring and secure suitable IV access

    Connect patient to the TCI pump and commence supplemental O2 at 4 L min-1

    INITIAL PHASE: Set CpT at 1.4µg ml-1 and Start TCI propofol (1%). Monitor CeT and assess sedation as CeT
    rises to 1.0 µg ml-1, 1.2µg ml-1and 1.4µg ml-1. The patient is likely to be under sedated in this initial phase but
    follow the algorithm below if they become adequately sedated or require no further sedation.

    If the patient remains under sedated when CpT and CeT = 1.4µg ml-1 then proceed to the TITRATION PHASE.

    Assess sedation when CeT is 1.4µg ml-1 Requires no further sedation

    Adequately Sedated Under sedated OAA/S 2 (Response only after mild


    prodding or shaking) OR
    OAA/S 3 (Response only after OAA/S 5 (Responds readily to name OAA/S 1 (Response only after
    name is called loudly and/or spoken in normal tone) OR painful trapezius squeeze) OR
    repeatedly)
    OAA/S 4 (Lethargic response to name OAA/S 0 (No response after
    spoken in normal tone) painful trapezius squeeze)
    Do not change the pump
    settings
    Stop infusion and DO NOT give
    alfentanil bolus

    TITRATION PHASE: If the patient remains under sedated when CpT and CeT =S1.4µg ml-1 then
    increase the CpT by 0.2µg ml-1 every 2 minutes to a maximum of 4.0 µg ml-1.

    Asses the sedation level every 2 minutes. When CpT is 2.6µg ml-1 then a second healthcare
    professional should also assess the sedation level before proceeding further to a maximum
    of 4.0 µg ml-1.

    If remains OAA/S 5 OR OAA/S 4 at CpT = 4µg ml -1


    then STOP STUDY AT THIS POINT
    Administer Alfentanil Bolus
    COMMENCE REDUCTION
    >70kg give 250 µg

    50-70kg give 200 µg

    On completion of the reduction the infusion should be stopped and the patient observed until complete recovery

    If an adverse event occurs, the TCI should be stopped immediately

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