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
Hauptverfasser: Dengler, Bradley, MD, Garvin, Rachel, MD, Seifi, Ali, MD
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.
ISSN:0883-9441
1557-8615
DOI:10.1016/j.jcrc.2015.03.027