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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Anaesthesiol+Clin+Pharmacol
2017 ; 33
(1
): 9-15
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Novel propofol derivatives and implications for anesthesia practice
#MMPMID28413268
Feng AY
; Kaye AD
; Kaye RJ
; Belani K
; Urman RD
J Anaesthesiol Clin Pharmacol
2017[Jan]; 33
(1
): 9-15
PMID28413268
show ga
Propofol (2,6-diisopropylphenol) is the most commonly used intravenous agent for
induction of anesthesia. It is also used for maintenance of anesthesia and
sedation in both Intensive Care Units and outpatient procedural settings. Its
success in the clinical setting has been a result of its rapid onset, short
duration of action, and minimal side effects despite disadvantages associated
with its oil emulsion formulation. Early attempts to alter the standard emulsion
or to develop new formulations with cyclodextrins and micelles to resolve issues
with pain upon injection, the need for antimicrobial agents, and possible
hyperlipidemia have mostly failed. With these challenges in the foreground,
attention has now shifted to the use of more prodrugs and exogenous alternatives,
the success of which is yet to be determined. These new agents must offer
significant clinical advantages over the well-entrenched, generic propofol oil
emulsion to justify higher costs and to be well received in the increasingly
cost-conscious healthcare marketplace.