Propofol-related infusion syndrome induced by "moderate dosage" in a patient with severe head trauma

被引:11
作者
Annecke, Thorsten [1 ]
Conzen, Peter [1 ]
Ney, Ludwig [1 ]
机构
[1] Univ Munich, Dept Anesthesiol, D-80336 Munich, Germany
关键词
Cardiac failure; Propofol-related infusion syndrome; Traumatic head injury; PATHOPHYSIOLOGY; SEDATION; UPDATE;
D O I
10.1016/j.jclinane.2011.03.008
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Propofol is widely used for sedating critically ill adult patients because of its rapid onset and short recovery times, even after prolonged use. Propofol may be associated with a life-threatening syndrome, propofol-related infusion syndrome (PRIS), which includes cardiac failure, severe metabolic acidosis, renal failure, and rhabodomyolysis. The pathophysiology is incompletely understood. Propofol-related "infusion syndrome seems to be dose-related, and it occurs generally in patients undergoing long-term (> 48 hrs) sedation at higher doses (> 4 mg/kg/hr). A case of PRIS in a patient after severe head injury is presented. (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:51 / 54
页数:4
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