| Propofol lipemia mimicking chyle leak during neck dissection. | |
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MedLine Citation:
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PMID: 16983690 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Propofol is an intravenous agent used in anesthesia. Lipemia is an uncommon adverse effect of propofol infusion. METHODS: A patient undergoing neck dissection for recurrent chordoma had intraoperative lipemia develop after prolonged propofol infusion. RESULTS: Lipemia gave blood in the surgical field a milky appearance resembling chyle, but no chyle leak was present. Lipemia was confirmed by drawing a sample of blood and leaving it to stand. Layering of the blood with a milky white upper layer was observed. Analysis of a second sample of blood revealed a high lipemic index. CONCLUSIONS: Lipemia is an uncommon adverse effect of propofol infusion, which may give blood a milky appearance and be confused for a chyle leak in a dissected neck. Identification of lipemia is also important because there is a risk of acute pancreatitis, and it may represent the early stage of propofol infusion syndrome. |
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Authors:
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David E Vokes; Mark E Linskey; William B Armstrong |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Head & neck Volume: 28 ISSN: 1043-3074 ISO Abbreviation: Head Neck Publication Date: 2006 Dec |
Date Detail:
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Created Date: 2006-11-23 Completed Date: 2007-01-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8902541 Medline TA: Head Neck Country: United States |
Other Details:
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Languages: eng Pagination: 1147-9 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology-Head & Neck Surgery, University of California Irvine Medical Center, 101 The City Drive South, Building 56, Suite 500, Orange, California 92868, USA. dvokes@uci.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anesthetics, Intravenous
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adverse effects* Chyle* Diagnosis, Differential Humans Hyperlipidemias / chemically induced*, diagnosis* Intraoperative Complications Male Middle Aged Neck Dissection / adverse effects* Propofol / adverse effects* |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Intravenous; 2078-54-8/Propofol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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