A case of suspected propofol infusion syndrome after abdominal aortic aneurysm surgery.

Abdominal aortic aneurysm Propofol infusion syndrome Rhabdomyolysis

Journal

Surgical case reports
ISSN: 2198-7793
Titre abrégé: Surg Case Rep
Pays: Germany
ID NLM: 101662125

Informations de publication

Date de publication:
31 Jul 2020
Historique:
received: 08 06 2020
accepted: 20 07 2020
entrez: 2 8 2020
pubmed: 2 8 2020
medline: 2 8 2020
Statut: epublish

Résumé

Propofol infusion syndrome (PRIS) is a rare but potentially lethal side effect during propofol administration. The patient was scheduled for abdominal aortic aneurysm resection and reconstruction. Propofol used during sedation for ventilation after the surgery-induced rhabdomyolysis, heart failure, and renal failure. Discontinuation of propofol administration led to a dramatic improvement in the fatal symptoms, resulting in a diagnosis of PRIS. We herein report a rare case of a PRIS during sedation in the intensive care unit after abdominal aortic aneurysm surgery. Physicians using propofol should therefore be aware of the potential risk of PRIS.

Sections du résumé

BACKGROUND BACKGROUND
Propofol infusion syndrome (PRIS) is a rare but potentially lethal side effect during propofol administration.
CASE PRESENTATION METHODS
The patient was scheduled for abdominal aortic aneurysm resection and reconstruction. Propofol used during sedation for ventilation after the surgery-induced rhabdomyolysis, heart failure, and renal failure. Discontinuation of propofol administration led to a dramatic improvement in the fatal symptoms, resulting in a diagnosis of PRIS.
CONCLUSIONS CONCLUSIONS
We herein report a rare case of a PRIS during sedation in the intensive care unit after abdominal aortic aneurysm surgery. Physicians using propofol should therefore be aware of the potential risk of PRIS.

Identifiants

pubmed: 32737619
doi: 10.1186/s40792-020-00946-2
pii: 10.1186/s40792-020-00946-2
pmc: PMC7393332
doi:

Types de publication

Journal Article

Langues

eng

Pagination

188

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Auteurs

Atsushi Guntani (A)

Department of Vascular Surgery, Saiseikai Yahata General Hospital, 5-9-27 Haruno-machi, Yahatahigashi-ku, Kitakyushu, 805-8527, Japan. aguntani@yahoo.co.jp.

Shinsuke Mii (S)

Department of Vascular Surgery, Saiseikai Yahata General Hospital, 5-9-27 Haruno-machi, Yahatahigashi-ku, Kitakyushu, 805-8527, Japan.

Classifications MeSH