PMID- 37927719 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231107 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 15 IP - 10 DP - 2023 Oct TI - Propofol-Related Infusion Syndrome: A Bibliometric Analysis of the 100 Most-Cited Articles. PG - e46497 LID - 10.7759/cureus.46497 [doi] LID - e46497 AB - Propofol-related infusion syndrome (PRIS) is a rare, yet life-threatening sequelae to prolonged administration of the anesthetic propofol in mechanically intubated patients. The condition is characterized by progressive multi-system organ failure and eventual mortality; of note, the predominant characteristics of PRIS involve but are not limited to cardiovascular impairment and collapse, metabolic and lactic acidosis, rhabdomyolysis, hyperkalemia, and acute renal failure. While potent or extended doses of propofol have been found to be the primary precipitating factor of this condition, others such as age, critical illness, steroid therapy, and hyperlipidemia have been discovered to play a role as well. This bibliometric analysis was done to reflect the current relevance and understanding of PRIS in recent literature. The SCOPUS database was utilized to conduct a search for articles with keywords "propofol infusion syndrome" and "propofol syndrome" from February 24, 2001, until April 16, 2023, with parameters for article title, citation number, citation per year, author, institution, publishing journal, and country of origin. PRIS was first defined in 1990, just a year after its approval by the Food and Drug Administration for use as a sedative-hypnotic. Since then, interest in PRIS slowly rose up to 13 publications per year in 2013. Seven papers on the topic were published in Critical Care Medicine, six in Neurocritical Care, and four in Anesthesia. The most common institutions were Mayo Clinic, Northeastern University, and Tufts Medical Center. To our knowledge, this is the first bibliometric analysis to evaluate the most influential publications about PRIS. A majority of the research is case-based, possibly owing to the rarity of the condition. Our research suggests that confounding factors outside the precipitating dosage of propofol may be implicated in the onset and progression of PRIS. This study could therefore bring renewed interest to the topic and lead to additional research focused on fully understanding the pathophysiology of PRIS in order to promote the development of novel diagnostics and treatment. CI - Copyright (c) 2023, Van et al. FAU - Van, Sophie AU - Van S AD - Anesthesiology, California University of Science and Medicine, Colton, USA. FAU - Lam, Vicky AU - Lam V AD - Anesthesiology, California University of Science and Medicine, Colton, USA. FAU - Patel, Kisan AU - Patel K AD - Physical Medicine and Rehabilitation, California University of Science and Medicine, Colton, USA. FAU - Humphries, Andrew AU - Humphries A AD - Anesthesiology, California University of Science and Medicine, Colton, USA. FAU - Siddiqi, Javed AU - Siddiqi J AD - Neurological Surgery, Riverside University Health System Medical Center, Moreno Valley, USA. LA - eng PT - Journal Article PT - Review DEP - 20231004 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC10624560 OTO - NOTNLM OT - bibliometric analysis OT - medical publications OT - propofol infusion syndrome OT - propofol syndrome OT - systematic review and meta analysis COIS- The authors have declared that no competing interests exist. EDAT- 2023/11/06 06:41 MHDA- 2023/11/06 06:42 PMCR- 2023/10/04 CRDT- 2023/11/06 04:22 PHST- 2023/09/05 00:00 [received] PHST- 2023/10/04 00:00 [accepted] PHST- 2023/11/06 06:42 [medline] PHST- 2023/11/06 06:41 [pubmed] PHST- 2023/11/06 04:22 [entrez] PHST- 2023/10/04 00:00 [pmc-release] AID - 10.7759/cureus.46497 [doi] PST - epublish SO - Cureus. 2023 Oct 4;15(10):e46497. doi: 10.7759/cureus.46497. eCollection 2023 Oct.