PMID- 31719808 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 1551-6776 (Print) IS - 2331-348X (Electronic) IS - 1551-6776 (Linking) VI - 24 IP - 6 DP - 2019 Nov-Dec TI - Survey of Pharmacists Regarding the Use of Propofol Infusions in the PICUs in North America. PG - 473-478 LID - 10.5863/1551-6776-24.6.473 [doi] AB - OBJECTIVE: The objective of this survey was to assess the current use of continuous infusion propofol in PICUs across the United States and Canada. METHODS: A list of institutions with PICU beds/units was identified through the residency directories available on the American Society of Health-Systems Pharmacists (ASHP) and Canadian Society of Hospital Pharmacists (CHSP) Web sites. A REDCap questionnaire was sent to each identified institution's program director via email. An initial reminder email was sent out 2 weeks later and a second reminder email was sent 4 weeks after the initial request. The survey was closed at 6 weeks. RESULTS: A total of 514 emails were sent to residency program directors, and 50 pharmacists responded to the survey. Of the pharmacists that did respond, 27 (54%) reported using propofol while 23 (46%) did not. Of those that did not, 43.5% reported the FDA boxed warning as the primary reason. Thirty-seven percent of respondents using propofol felt comfortable using a maximum infusion rate of 200 mcg/kg/min. Twenty-nine percent, 25%, and 33% of those who responded as using propofol felt comfortable using this agent for a maximum duration of 24, 48, and 72 hours, respectively. The majority of respondents using propofol did not have a case of propofol-related infusion syndrome. CONCLUSIONS: Despite the FDA warning, propofol is used as a continuous infusion (with variable limitations) by a majority of pharmacists in North America. Self-reported incidence of propofol-related infusion syndrome (PRIS) remains low. CI - Copyright Published by the Pediatric Pharmacy Association. All rights reserved. For permissions, email: mhelms@pediatricpharmacy.org 2019. FAU - Kurek, Kenneth J AU - Kurek KJ FAU - Harthan, Aaron A AU - Harthan AA FAU - Tripathi, Sandeep AU - Tripathi S LA - eng PT - Journal Article PT - Review PL - United States TA - J Pediatr Pharmacol Ther JT - The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG JID - 101089851 PMC - PMC6836699 OTO - NOTNLM OT - adverse drug effect OT - continuous infusion OT - pediatrics OT - propofol OT - propofol-related infusion syndrome COIS- Disclosure The authors declare no conflicts or financial interest in any product or service mentioned in the manuscript, including grants, equipment, medications, employment, gifts, and honoraria. EDAT- 2019/11/14 06:00 MHDA- 2019/11/14 06:01 PMCR- 2019/11/01 CRDT- 2019/11/14 06:00 PHST- 2019/11/14 06:00 [entrez] PHST- 2019/11/14 06:00 [pubmed] PHST- 2019/11/14 06:01 [medline] PHST- 2019/11/01 00:00 [pmc-release] AID - 10.5863/1551-6776-24.6.473 [doi] PST - ppublish SO - J Pediatr Pharmacol Ther. 2019 Nov-Dec;24(6):473-478. doi: 10.5863/1551-6776-24.6.473.