Propofol Infusion Syndrome in the Postoperative Period of a Kidney Transplant
Joint Authors
Valdez-Ortiz, Rafael
Dehesa-López, Edgar
Irizar-Santana, Sergio Saul
Claure-Del Granado, Rolando
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-09-25
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Sedation during medical procedures poses a risk to any patient, and the use of specific anesthetic agents should be carefully considered to avoid adverse outcomes.
We report on a patient with propofol infusion syndrome diagnosed during the post-operative period of a renal transplant.
A 58-year-old female on chronic hemodialysis due to end stage kidney disease secondary to microscopic polyangiitis underwent kidney transplant from a deceased donor.
Anesthetic induction was performed with fentanyl, propofol, and cisatracurium, and maintained with continuous propofol infusion.
In the recovery room, the patient developed somnolence, tachypnea, and thoracoabdominal dissociation secondary to residual neuromuscular block.
An arterial-blood gas test indicated acidemia, high pCO2, low HCO3, and mildly increased serum lactate.
The patient remained hemodynamically stable, on volume-controlled ventilation, with sedation by continuous propofol infusion.
Blood gas tests revealed persistent acidemia without tissue hypoperfusion.
Doppler ultrasound of the renal graft reported adequate blood flow and serum triglycerides were elevated.
A diagnosis of propofol infusion syndrome was made, and infusion ceased.
A decrease in serum lactate levels was observed, with normalization 4 h later.
This case highlights the importance of considering adverse effects of anesthetic agents as the cause of post-operative complications when prolonged sedation is required.
American Psychological Association (APA)
Dehesa-López, Edgar& Irizar-Santana, Sergio Saul& Claure-Del Granado, Rolando& Valdez-Ortiz, Rafael. 2019. Propofol Infusion Syndrome in the Postoperative Period of a Kidney Transplant. Case Reports in Nephrology،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1141181
Modern Language Association (MLA)
Dehesa-López, Edgar…[et al.]. Propofol Infusion Syndrome in the Postoperative Period of a Kidney Transplant. Case Reports in Nephrology No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1141181
American Medical Association (AMA)
Dehesa-López, Edgar& Irizar-Santana, Sergio Saul& Claure-Del Granado, Rolando& Valdez-Ortiz, Rafael. Propofol Infusion Syndrome in the Postoperative Period of a Kidney Transplant. Case Reports in Nephrology. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1141181
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141181