The subjective effects of low-dose propofol. A double-blind study to evaluate dimensions of sedation and consciousness with low-dose propofol

Anaesthesia. 1994 Jun;49(6):490-6. doi: 10.1111/j.1365-2044.1994.tb03518.x.

Abstract

In this study the subjective effects (sedation and mood) of subanaesthetic doses of propofol were examined in 28 healthy male volunteers. A computer model was used to predict the infusion profiles necessary to obtain steady state propofol plasma concentrations of 0.3 microgram.ml-1, 0.6 microgram.ml-1, 0.9 microgram.ml-1. Objective measures of sedation from saccadic eye movement and choice reaction time gave significant dose responses at each level but a battery of psychometric tests failed to show dose-related subjective responses. Of particular note in the subjective data is the lack of a difference between groups or even of a consistent trend within the data. This suggests that a low concentration of propofol in plasma does not induce euphoria or a sense of well-being. The anecdotal evidence available for mood changes with propofol therefore remains unsubstantiated.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Affect / drug effects*
  • Double-Blind Method
  • Humans
  • Hypnotics and Sedatives / pharmacology*
  • Male
  • Propofol / administration & dosage
  • Propofol / blood
  • Propofol / pharmacology*
  • Psychological Tests
  • Psychometrics
  • Time Factors

Substances

  • Hypnotics and Sedatives
  • Propofol