Expiration date: 04/2020
Method of application and dose:
Propofol Kabi 20 mg/ml can be used only by anesthesiologists in hospitals or properly equipped outpatient offices, as well as in intensive care units.
With the introduction of Propofol Kabi 20 mg/ml a doctor should be equipment commonly used in the conduct of General anesthesia, including means for monitoring the function SSS (ECG, pulse oximetry) and a means of resuscitation.
The dose of Propofol Kabi 20 mg/ml should be individualized based on response of the patient and premedication.
As a rule, when use of the drug requires additional introduction of analgeziruuchee drugs.
General anesthesia in adults
Introduction to General anaesthesia: the introduction of General anesthesia with Propofol Kabi 20 mg/ml should be administered fractionally (approximately 20-40 mg propofol every 10 s) before the onset of clinical signs of anesthesia.
The usual dose for adults under the age of 55 years is 1.5–2.5 mg/kg.
Have older patients and patients with III and IV degree of severity according to the classification of the American society of anesthesiologists (ASA), especially with impaired cardiac function, the required dose is generally lower. The total dose of Propofol Kabi 20 mg/ml can be reduced to a minimum of 1 mg/kg. Require slower administration of Propofol Kabi 20 mg/ml, about 1 ml (20 mg propofol) every 10 seconds.
Maintenance of anesthesia: maintenance of General anesthesia with Propofol Kabi 20 mg/ml administered continuously drip or again in the form of boluses.
For maintenance of anesthesia propofol used at a dose of 4-12 mg/kg.
In less severe surgical interventions, such as minimally invasive, may reduce maintenance dose to about 4 mg/kg/h.
In the elderly, patients with unstable General condition, patients with compromised cardiac function or hypovolemia, and patients with III–IV degree of severity according to the classification by ASA, the dose may be reduced to an even greater extent, given the severity of the condition and technique of anesthesia.
General anesthesia in children older than 3 years
Propofol Kabi 20 mg/ml recommended for General anaesthesia in children under 3 years, since the concentration of the emulsion 20 mg/ml titrated difficult, but young children require very small amount of the drug. For children aged from 1 month to 3 years it is recommended to use Propofol Kabi 10mg/ml, the dose should be less than 100 mg/h.
Introduction to General anaesthesia: the introduction of General anesthesia is recommended slower dose titration of Propofol Kabi 20 mg/ml before the onset of clinical signs of General anesthesia.
Dose chosen based on age and/or body weight.
In children older than 8 years the dose required for administration of General anesthesia is approximately 2.5 mg/kg.
Have younger children the dose may be higher. The use of the drug beginning with a dose of 3 mg/kg. optionally, you can enter additional dose of 1 mg/kg.
Children from high-risk groups (grade III–IV severity classification ASA) recommended lower doses.
Maintenance of anesthesia: maintenance of General anesthesia is carried out a continuous infusion at a dose of 9-15 mg/kg/h.
Data regarding repeated injections of propofol for maintenance of General anesthesia in children not.
Dose picked individually. It is necessary to pay special attention to the adequacy of analgesia.
Sedation in adults during intensive care
For sedation during mechanical ventilation in intensive care Propofol Kabi 20 mg/ml it is recommended to enter by continuous infusion. The dose is selected taking into account the required depth of sedation. Typically, adequate sedation can be achieved with a speed of administration of propofol of 0.3–4 mg/kg/h to Increase the rate of administration of more than 4 mg/kg/h is not recommended.
Propofol Kabi 20 mg/ml should not be used for sedation in intensive care patients aged 16 and under.
Methods of administration
Propofol Kabi 20 mg/ml is injected in/in undiluted as a continuous infusion.
Propofol Kabi 20 mg/ml cannot be used for repeated bolus injection to maintain anesthesia.
With the introduction of Propofol Kabi 20 mg/ml is recommended to control the speed of infusion with burette, dropper, syringe, or infusion pump.
The bottle should be shaken before administration. To use only homogeneous drug from an intact vial. Before use, the rubber diaphragm of the vial should be treated with alcohol.
Because Propofol Kabi 20 mg/ml is a fat emulsion containing no preservatives and non-protivomikrobnye activity, the drug may serve as a favorable environment for rapid growth of microorganisms.
Emulsion should be prepared in sterile syringe or dropper immediately after opening the ampoule or vial. The introduction of the drug should begin without delay.
During the period of administration of Propofol Kabi 20 mg/ml should be respected the rules of the aseptic product and system for parenteral infusion.
Other drugs or solutions that need to be administered simultaneously with Propofol Kabi 20 mg/ml, should be introduced into the IV line via Y-shaped connector or valve.
Propofol Kabi 20 mg/ml must not be mixed with other solutions for on/in the introduction. However, through the cannula dropper it is possible simultaneously to introduce a 5% glucose solution, 0.9 or 0.18% solution of sodium chloride and 4% glucose.
Propofol Kabi 20 mg/ml cannot be entered through an antibacterial filter.
Propofol Kabi 20 mg/ml and other infusion systems containing propofol are intended for single use only and only one patient individually.
Any remaining emulsion of Propofol Kabi 20 mg/ml after application should be destroyed.
As the use of other fat emulsions, the duration of administration of Propofol Kabi 20 mg/ml by using one system for infusion should not exceed 12 h. after 12 h the system for infusion and the reservoir of Propofol Kabi 20 mg/ml should be replaced.
To reduce pain with injection, infusion should be carried out in a larger vein or immediately before infusion of Propofol Kabi 20 mg/ml can introduce the lidocaine solution.
Muscle relaxants such as atracurium and mivacurium, you can enter through the same catheter only after the jet washing.
Duration of use should not exceed 7 days.
Do not freeze!