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Analytic reviews: propofol infusion syndrome in the ICU.
MedLine Citation:
PMID:  21464061     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Propofol is an alkylphenol derivative named 2, 6, diisopropylphenol and is a potent intravenous short-acting hypnotic agent. It is commonly used as sedation, as well as an anesthetic agent in both pediatric and adult patient populations. There have been numerous case reports describing a constellation of findings including metabolic derangements and organ system failures known collectively as propofol infusion syndrome (PRIS). Although there is a high mortality associated with PRIS, the precise mechanism of action has yet to be determined. The best preventive measure for this syndrome is awareness and avoidance of clinical scenarios associated with development of PRIS. There is no established treatment for PRIS; care is primarily supportive in nature and may include the full array of advanced cardiopulmonary support, including extracorporeal membrane oxygenation (ECMO). This article reviews the reported cases of PRIS and describes the current understanding of the underlying pathophysiology and treatment options.
Authors:
Daniel A Diedrich; Daniel R Brown
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of intensive care medicine     Volume:  26     ISSN:  1525-1489     ISO Abbreviation:  J Intensive Care Med     Publication Date:    2011 Mar-Apr
Date Detail:
Created Date:  2011-04-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8610344     Medline TA:  J Intensive Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  59-72     Citation Subset:  IM    
Affiliation:
Division of Critical Care, Department of Anesthesiology, Mayo Clinic, Rochester, MN, USA.
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