Procedural sedation is commonly undertaken in the emergency department (ED) to facilitate joint and/or fracture reductions that would otherwise be noxious to the patient. Pharmacological agents commonly employed in this scenario include midazolam, propofol, ketamine, sometimes in combination e.g. ketofol, and often with an opiate [1].

Propofol, a potent sedative with rapid onset and offset, is a popular choice for short ED procedures that require deep sedation. This technique is well established with a good record of safety and effectiveness [2] and evidence of overall patient and physician satisfaction [3]. However, though patient information requirements have been explored, [4] there is a paucity of information regarding patient and staff perceptions (e.g. feelings and experiences) relating to different aspects of what is routine practice in many EDs. Better understanding of these aspects could lead to improved patient experience, better communication, and optimisation of patient care.

This qualitative study aimed to explore the experience of, and perceptions and attitudes to, different aspects of propofol procedural sedation administered in the ED, both from the perspective of the patient and of the healthcare professionals delivering care. Outcomes we hoped to achieve where first, to enhance the patient experience by improving the comfort and satisfaction of patients undergoing propofol procedural sedation in the ED, and second, to identify and address barriers and challenges for healthcare professionals in optimising this aspect of healthcare delivery.