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paramedic6031 posted:
You have a 50 yr old F with HX CHD, HTN, CHF, DM, allergies: Morphine, Codeine, Anaprox. She is going in for a Colonoscpy and is to be sedated. Last surgery she had, she went into CHF exacerbation and had to be reintubated and place on vent approx 3 yrs ago. has had recent CHF exacerbation episode causing 4 days stay in hospital. Pt place on 1500 fluid restriction. Pt weighs approx 245 and 5 ft 6". Which would be a better choice for sedation, Propofol or Versed and Why?
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James Beckerman, MD, FACC responded:
Typically, patients are not intubated for colonoscopy procedures. However, for deep sedation in someone who has had recent breathing challenges, it may be worth discussing to have an anesthesiologist involved in the sedation portion of your procedure - I would defer to them as to which would be the better agent for sedation.


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