Well, since I am known here as the propofol queen of this forum and have lot to say on this topic both medically and personally speaking. So on Saturday when the good doc and I get some time together, we will go over some of these ponts with you.
I can tell you what I know at this point though. It used to be that propofol was a very expensive drug. Not sure when the price dropped but I know for the past few years anyway that it is basically dirt cheap and pretty comprable with the other mentioned medications.
FOr a normal colonoscopy, the doc would use maybe 20-30 ml's of propofol which is about 3 dollars worth. I believe you can get 5 20ml vials for just over ten bucks, at least according to the distributer web site last night.
But you guys are right in the fact that the price for using propofol isn't really with the drug itself, it's with the required personel needed to monitor the patient while using propofol.
Oddly enough, dispite all the BS in the news with Michael Jackson and the use of Propofol, propofol is NOT what killed him, and propofol is in fact a very very safe drug. It is very fast acting, quick in, quick out. Seldom does anyone have any sort of allergic reactions to it as many do with the others, and propofol doesn't cause that hang over,dizzyness, nauseated, time lossed types of feelings from the others.
Because of Michael Jackson and his idiot doctor, it brought propofol into a bad light, and has sense been watched by the government and us currently up for review to see if it needs stricter guidelines. Currently all propofol restrictions are regulated either by the state, or the facility.
For example, my doc has to have a scope done in the next year or so. He will have to travel about 50 miles away to the facility that uses propofol instead of versed. In his hospital, it's used, but not for colonoscopys.
Here in my state, nurses are not allowed to hang an initial bag of propofol, but we can maintain them and we can bolus with propofol at our descretion. We carry them around in our pockets all day long. It's not considered a narcotic and it is not counted.
So if you have a patent IV line and you are being a pain in my ass, and you see me coming at you with a 5cc syringe full of what looks like milk, you can pretty much figure on taking a little nap for a bit. Lol. I'm just kidding...
Seriously though, I just had my colonoscopy done a few days ago, three to be exact. I was very very spacific with them that I only wanted propofol and ketamine, nothing else. The doc agreed, and he only used propofol and ketamine. I woke up an hour later, as my scope took about 45 minutes, and I was alert and oriented, not nauseated, or "lost".
And that's my two cents worth at this point in time. He might have some more stuff to add this weekend if we have the time to ummmm, stop our activities long enough to take a quick break, lol.