Quick tip for families in ICU: Should my mom have Propofol or Midazolam while on the ventilator?

https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-should-my-mom-have-propofol-or-midazolam-while-on-the-ventilator/Show more

Quick tip for families in Intensive Care: Should my mom have Propofol or Midazolam while on the ventilator?

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Hi, it’s Patrik Hutzel from intensivecarehotline.com with another quick tip for families in intensive care.

So, one of our readers has written an email and said, “Hey, my mom is in intensive care, on a ventilator, in an induced coma after pneumonia. And she’s currently on midazolam and morphine infusion for sedation. And that keeps her in the induced coma.”

Midazolam is also known as Versed and she’s asking, in order to wake up, should they change midazolam or Versed to propofol? Now that’s a great question to ask, and I quickly want to make the distinction here. When you should use midazolam or Versed versus propofol?

So, propofol is a short-acting sedative. What that means is, when you use propofol and you stop propofol, patient should wake up very quickly versus if you use midazolam, it’s a long-acting sedative. And that means when you use midazolam, it takes longer for people to wake up.

The other disadvantage for midazolam or using midazolam is that, it is an addictive substance. It’s a benzodiazepine and it can make people addicted from overuse. So, when people had too much midazolam and they’re trying to get out of the induced coma, they might actually have withdrawal symptoms.

Continuation...
https://intensivecarehotline.com/blog/quick-tip-for-families-in-icu-should-my-mom-have-propofol-or-midazolam-while-on-the-ventilator/