We have removed droperidol from the hospital formulary some time ago due to concerns over QT prolongation and Torsades. However, there is increasing pressure from Anesthesia to use droperidol post-operatively for N/V as the risk of TdP is low (<0.1%) and there is EKG monitoring in the OR so the team can avoid giving the medication to those with prolonged QT.
I would appreciate your responses to these questions.
1) Do you have droperidol on formulary?
2) What restrictions do you have in place for ordering, if anY?
Thank you.