ICU sedation, delirium & recovery

Fospropofol disodium versus propofol for long-term sedation during invasive mechanical ventilation: A pilot randomized clinical trial

J Clin AnesthPublished Pilot randomised controlled trial

Authors' conclusion

Fospropofol disodium appears to be a feasible, effective and safe sedative for patients receiving invasive mechanical ventilation with long-term sedation.

Study context

Population
Adults expected to need mechanical ventilation >24 h, general ICU of a university-affiliated teaching hospital
Participants
60 adults
Comparison
Fospropofol disodium vs propofol continuous infusion for sedation
Primary endpoint
Percentage of time in target sedation range without rescue sedation
Methodological detailssingle-centre, prospective, unblinded, parallel-group
  • Single-centre
  • Prospective
  • Unblinded
  • Parallel-group

Primary result

As reported in the abstract

P = 0.887

Further findings

Dose

Safety

At least one adverse event

Hypertriglyceridemia

P = 0.104

  • Hypertriglyceridemia: Fospropofol: all mild; Propofol: mild in 8, moderate in 1

At least one adverse event

Most common AEs: tachycardia and hypotension

Paresthesia, catheter-related bloodstream infection, propofol infusion syndrome

None reported in either group
0

Plasma formate concentration

Very low; no significant difference at any time point between groups

Original publication

Fospropofol disodium versus propofol for long-term sedation during invasive mechanical ventilation: A pilot randomized clinical trial. J Clin Anesth. Published 16 March 2024. doi:10.1016/j.jclinane.2024.111442

Composed by AI from the published abstract and checked against it. How Briefs are made →

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