Can therapeutic hypothermia trigger propofol-related infusion syndrome?
Some risk factors are associated with PRIS, namely, higher propofol dosages (>4 mg/kg per hour), prolonged application (>48 hours), patients with neurologic or neurosurgical diseases, young age, exogenous catecholamine or glucocorticoid administration, inadequate carbohydrate intake, and subcl...
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Veröffentlicht in: | Journal of critical care 2015-08, Vol.30 (4), p.823-824 |
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Hauptverfasser: | , , |
Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Some risk factors are associated with PRIS, namely, higher propofol dosages (>4 mg/kg per hour), prolonged application (>48 hours), patients with neurologic or neurosurgical diseases, young age, exogenous catecholamine or glucocorticoid administration, inadequate carbohydrate intake, and subclinical mitochondrial disease [1,4-9]. [...]the use of vasopressor medications likely helped increase the blood concentration of propofol given their side effect of splanchnic vasoconstriction decreasing hepatic blood flow, thereby decreasing the clearance of propofol. |
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ISSN: | 0883-9441 1557-8615 |
DOI: | 10.1016/j.jcrc.2015.03.027 |