Open Sim Lab
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Routine geriatric intravenous induction

Educational use only. Not clinically reviewed

76-year-old man for Elective open inguinal hernia repair. About 8 simulated minutes.

What you will practise

  • Establish an oxygen reserve before beginning the modeled older-adult induction.
  • Titrate the labeled older-adult propofol range in increments and watch the modeled effect site catch up.
  • Preserve perfusion while the incremental hypnotic effect develops.
  • Begin age-appropriate delivered ventilation before oxygen saturation falls.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

  • United States Food and Drug Administration approved labeling. Propofol injectable emulsion. Current DailyMed label.
  • Eleveld DJ, et al. Pharmacokinetic-pharmacodynamic model for propofol for broad application in anaesthesia and sedation. Br J Anaesth 2018;120:942-59. PMID 29661412.
  • Klein et al. Recommendations for standards of monitoring during anaesthesia and recovery 2021. PMID 34013531.

Every scenario in this module

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.