PMID- 22284319 OWN - NLM STAT- MEDLINE DCOM- 20120511 LR - 20131121 IS - 1873-4529 (Electronic) IS - 0952-8180 (Linking) VI - 24 IP - 1 DP - 2012 Feb TI - Propofol-related infusion syndrome induced by "moderate dosage" in a patient with severe head trauma. PG - 51-4 LID - 10.1016/j.jclinane.2011.03.008 [doi] AB - 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. CI - Copyright (c) 2012 Elsevier Inc. All rights reserved. FAU - Annecke, Thorsten AU - Annecke T AD - Department of Anesthesiology, Ludwig-Maximilians-University Munich, D-80336 Munich, Germany. thorsten.annecke@med.uni-muenchen.de FAU - Conzen, Peter AU - Conzen P FAU - Ney, Ludwig AU - Ney L LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Clin Anesth JT - Journal of clinical anesthesia JID - 8812166 RN - 0 (Anesthetics, Intravenous) RN - YI7VU623SF (Propofol) SB - IM MH - Acidosis/chemically induced MH - Adult MH - Anesthetics, Intravenous/administration & dosage/*adverse effects MH - Craniocerebral Trauma/*physiopathology/therapy MH - Dose-Response Relationship, Drug MH - Female MH - Heart Failure/chemically induced MH - Humans MH - Propofol/administration & dosage/*adverse effects MH - Renal Insufficiency/chemically induced MH - Rhabdomyolysis/chemically induced MH - Syndrome MH - Trauma Severity Indices EDAT- 2012/01/31 06:00 MHDA- 2012/05/12 06:00 CRDT- 2012/01/31 06:00 PHST- 2010/03/28 00:00 [received] PHST- 2011/03/08 00:00 [revised] PHST- 2011/03/10 00:00 [accepted] PHST- 2012/01/31 06:00 [entrez] PHST- 2012/01/31 06:00 [pubmed] PHST- 2012/05/12 06:00 [medline] AID - S0952-8180(11)00332-1 [pii] AID - 10.1016/j.jclinane.2011.03.008 [doi] PST - ppublish SO - J Clin Anesth. 2012 Feb;24(1):51-4. doi: 10.1016/j.jclinane.2011.03.008.