Westmead Trauma Algorithm vs Propofol Dreams

PURPOSE The Westmead Hospital Trauma Clinical Algorithms have been developed utilising evidence-based information to enhance patient and clinical decision-making and improve efficiency in delivery of safe, standardised health care. INTENDED AUDIENCE The algorithms presented are intended primarily for health professionals and the following audiences, specifically at Westmead Hospital, Sydney NSW Australia: Physicians, nurses and other health care professionals Health care administrators Researchers OTHER AUDIENCES INCLUDING PATIENTS If you are a patient and accessing these algorithms, you should understand that the information presented is designed for the use of the expert audiences, identified above. You should seek assistance from your health care professional in interpreting these materials and applying them in individual cases. MEDICAL ADVICE The algorithms are evidence-based processes that are intended to assist physician and patient decisions regarding the health care of trauma patients at Westmead Hospital. Although designed to standardise decision plans for trauma, the algorithms cannot address the unique needs of each patient or the combination of resources available to a particular community or health care professional. The algorithms are not entirely inclusive or exclusive of all methods of reasonable care that can result in the same outcome. Deviation from these algorithms may be justified by individual circumstances. The use of these algorithms outside Westmead Hospital must be applied based on individual patient requirements using expert, professional judgment. DISCLAIMERS The algorithms are for use specifically at Westmead Hospital, NSW, Australia. The creator and contributors to these algorithms do not assume any legal liability or responsibility for the use/application or resulting outcomes thereof these guidelines, both within or outside Westmead Hospital. Westmead Hospital does not assume any legal liability or responsibility for the accuracy, completeness, and/or clinical efficacy of these algorithms.

Propofol is one of the most commonly wasted drugs in the operating theatre. It is toxic to the aquatic environment, bioaccumulates up the food chain and is not readily degraded in nature. Propofol Dreams is a simple app designed to help anaesthetists minimise propofol wastage during TIVA. Propofol Dreams has three main modes: (1) Volume Mode estimates the volume of propofol required for a given case based on the TCI model, patient parameters and the estimated duration of surgery. This guides the volume of propofol to draw up at the beginning of a case. (2) Duration Mode estimates how long a syringe of propofol will last at the current infusion rate. This guides the volume of propofol to draw up in the middle of a case. (3) EleMarsh Mode makes the Marsh Model on your TCI pump behave like the Eleveld Model through adjusting the input weight using our novel algorithm. We are passionate about environmental sustainability in anaesthesia and we hope to tackle these issues through technology. Please help us make Propofol Dreams better! For comments and feedback, please email propofoldreaming@gmail.com. Thank you and happy propofol dreaming! Important Note: Propofol Dreams is designed for the purposes of education and environmental sustainability only. It is not a dosage calculator and does not give advice about the clinical care of patients. Propofol Dreams cannot be used to replace infusion pumps or sound clinical judgment.