Propofol

If there’s one drug you need to know inside and out, it’s this one – Propofol. It’s in every OR, every GI lab, and every ICU. It’s elegant, fast, and powerful. But with great power comes great responsibility (and significant hypotension).

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Trauma with Full Stomach

A 25-year-old male involved in a motor vehicle accident requires emergency laparotomy for suspected splenic injury. The patient ate a full meal 1 hour before the accident. Cervical spine precautions are necessary.

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Obstetric Emergency

A 32-year-old pregnant patient at 38 weeks gestation presents for emergency cesarean section due to fetal distress. She has pre-eclampsia with BP 168/110 mmHg and proteinuria. Rapid sequence induction required.

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Pediatric Airway Management

A 3-year-old child with recurrent croup presents for adenotonsillectomy. The child has a history of difficult intubation during previous anesthesia. Parents report occasional stridor during sleep and upper respiratory infections.

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