To the Editor In a recent article in JAMA Internal Medicine, Worsham et al1 present a patient who had a delayed extubation in an intensive care unit (ICU) following cardiac catheterization. The disadvantages of mechanical ventilation for times longer than medically indicated and the need for effective communication between caregivers are nicely stated. However, the comment that propofol is considered safe for procedural analgesia and sedation needs clarification in the context of procedures in the ICU.
Pino RM. The Safe Use of Propofol. JAMA Intern Med. 2016;176(1):140. doi:10.1001/jamainternmed.2015.7198