Palliative sedation with propofol for refractory agitation

Palliative sedation is a useful intervention to manage refractory symptoms at the end of life. Currently, there is limited research on approaches to managing symptoms refractory to standard sedation protocols. Expanding awareness of therapeutic options is essential for improving management of refractory cases. Propofol, a short-acting anaesthetic, may be a valuable option when conventional sedatives at high doses fail to achieve adequate symptom relief. We present the case of a 40-year-old woman with high-grade metastatic ovarian cancer with refractory agitation that was successfully managed with propofol for palliative sedation.

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Publication Details

Journal
BMJ Supportive & Palliative Care
Published
2025-05-02
DOI
https://doi.org/10.1136/spcare-2025-005524
Citations
1
Primary Topic
Intensive Care Unit Cognitive Disorders
Type
article
Field-Weighted Citation Impact
1.55
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article

Palliative sedation with propofol for refractory agitation

B. L. Li, Kelvin Lou, Shalini Nayar, Shikha Minhas
1 citations
BMJ Supportive & Palliative Care
Intensive Care Unit Cognitive Disorders
1.55
article

Palliative sedation with propofol for refractory agitation

B. L. Li, Kelvin Lou, Shalini Nayar, Shikha Minhas
article en
1 citations

Abstract

Palliative sedation is a useful intervention to manage refractory symptoms at the end of life. Currently, there is limited research on approaches to managing symptoms refractory to standard sedation protocols. Expanding awareness of therapeutic options is essential for improving management of refractory cases. Propofol, a short-acting anaesthetic, may be a valuable option when conventional sedatives at high doses fail to achieve adequate symptom relief. We present the case of a 40-year-old woman with high-grade metastatic ovarian cancer with refractory agitation that was successfully managed with propofol for palliative sedation.

BMJ Supportive & Palliative CareVol. 15(6)
University of British Columbia Hospital (CA), University of British Columbia (CA)
Good health and well-being
Openalex Percentile: Top 20%
Intensive Care Unit Cognitive Disorders
1.55
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