The MTC Outreach Service advocates the use of standard infusions for the transfer
of patients to the MTC, detailed later (adapted from Magpas).
Transfer service
| Indications |
|
• As an infusion for maintenance of sedation and anaesthesia in ventilated patients
|
| Cautions |
• Elderly
• Hypovolaemia
• Cardiovascular disease
All predispose to hypotension and risk circulatory collapse |
| Dose (1ml = 20mg) |
• Adults: 1– 4mg/kg/hr (0–20ml/hr)
• Children: 1– 4mg/kg/hr
• Titrate to blood pressure
• Adult bolus: 1–2mls |
| Special groups |
• Safe in pregnancy
• Safe in children for short term use |
| Side effects |
• Hypotension (negatively inotropic and vasodilatory)
• Apnoea |
| Presentation: 50ml vial, white emulsion |
Transfer Service uses only 2% solutions
1% solutions are available in hospitals
Double-check strength prior to use
Use only 2% |
| Administration |
| Only given as an infusion using an approved
infusion pump. |