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The Unique Management of Accidental Intra-Arterial Injection of Propofol in a Patient With Acute Subdural Hemorrhage: A Case Report Publisher



Ferdosnia A1 ; Ramezani M1 ; Eraghi MM2, 3, 4 ; Seifipour S1 ; Javadi SAH2, 5
Authors
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Authors Affiliations
  1. 1. Department of Anesthesiology and Critical Care, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Student Research Committee, School of Medicine, Islamic Azad University, Qeshm International Branch, Qeshm, Iran
  4. 4. School of Medicine, Qeshm International Branch, Islamic Azad University, Qeshm, Iran
  5. 5. Department of Neurosurgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran

Source: Archives of Anesthesiology and Critical Care Published:2023


Abstract

Propofol is a commonly used medication for sedation during surgery; however, it must be used with precaution in neurologic patients because of the subsequent adverse effects of cardiovascular and neurologic. An 83-year-old male patient with acute subdural hemorrhage was referred with a two-year history of falling and a recent occurrence of imbalance; the patient underwent urgent surgery under general anesthesia, using 100 µg fentanyl for premedication, 50 mg Propofol for induction, and Isoflurane gas and fentanyl drip for maintenance. During transmission of the patient for postsurgical computed tomography, two ccs Propofol 1% were mistakenly injected into the patient's radial artery and managed appropriately by the master. Following this management, the patient represented no alteration in his vital signs and was discharged in a favorable condition. Here, we report how this case could be managed successfully. Robust data regarding the complications of accidental administration of Propofol through an artery are lacking, and the presented results remain controversial. The authors have herby drawn attention to the unique management of an accidental intra-arterial injection of Propofol. Further studies are warranted to establish definite conclusions. © 2023 Tehran University of Medical Sciences. Published by Tehran University of Medical Sciences.