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Acta Médica del Centro

ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"
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2015, Number 1

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Acta Med Cent 2015; 9 (1)

Pulmonary edema due to induction of anesthesia with propofol

Santos PLA
Full text How to cite this article

Language: Spanish
References: 10
Page: 50-53
PDF size: 120.88 Kb.


Key words:

pulmonary edema, propofol/adverse effects, heart failure.

ABSTRACT

Pulmonary edema is infrequently reported after administration of propofol. This article describes pulmonary edema in a woman of 45 year old who presented for elective cholecystectomy for minimum access, under general anesthesia with propofol. According to possible hypotheses in previous reports this pulmonary edema could be due to a direct cardiodepressant effect of propofol for antagonism with calcium channels or to the syndrome related with propofol infusion. Moreover, it is likely that in this case there is an underlying ischemia coexisted whenever a segmental alteration of ventricular contraction was observed on echocardiography.


REFERENCES

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  2. Diedrich DA, Brown DR. Propofol Infusion Syndrome in the ICU. J Intens Care Med. 2011 Mar-Apr;26(2):59-72. doi: 10.1177/0885066610384195

  3. Imanishi H, Kitamura A, Maruyama K, Ariyama J, Nakagawa J, Nishibe S, et al. Suspected recurrent anaphylaxis in different forms during general anestesia. J Anesth. 2010 Feb;24(1):143-5. doi: 10.1007/s00540-009-0839-z.

  4. Belso N, Kui R, Szegedesi I, Kakuja M, Kapitány K, Kemény L, et al. Propofol and fentanyl induced perioperative anaphylaxis. Br J Anaesth. 2011 Feb;106(2):283-4. doi: 10.1093/bja/aeq384.

  5. Ilyas MI, Balacumaraswami L, Palin C, Ratnatunga C. Propofol infusion syndrome in adult cardiac surgery. Ann Thorac Surg. 2009 Jan;87(1):e1-3. doi: 10.1016/j.athoracsur.2008.07.055.

  6. Laquay N, Pouard P, Silicani MA, Vaccaroni L, Orliaguet G. Early stages of propofol infusion syndrome in paediatric cardiac surgery: two cases in adolescent girls. Br J Anaesth. 2008 Dec;101(6):880-1. doi: 10.1093/bja/aen303.

  7. Chiu WT, Lim YL, Chou CW, Chen RM. Propofol inhibits lipoteichoic acid-induced iNOS gene expression in macrophages possibly through down-regulation of toll-like receptor 2-mediated activation of Raf-MEK 1/2-IKK-NFkappaB. Chem Biol Interact. 2009 Oct 30;181(3):430-9. doi: 10.1016/j.cbi.2009.06.011.

  8. Westhout FD, Muhonen MG, Nwagwu CI. Early propofol infusion syndrome following cerebral angiographic embolization for giant aneurysm repair. Case report. J Neurosurg. 2007 Feb;106(2 Suppl):139-42.

  9. Cravens GT, Packer DL, Johnson ME. Incidence of propofol infusion syndrome during noninvasive radiofrequency ablation for atrial flutter or fibrillation. Anesthesiology. 2007 Jun;106(6):1134-8.

  10. Cummings KC, Arnaut K. Étude de cas: Anaphylaxie peropératoire avec oedème pulmonaire associé au fentanyl. Can J Anesth. 2007;3:304-6.




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Acta Med Cent. 2015;9