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[Accidental intra-arterial propofol injection]

Maj Kjaergaard1, Marie Louise Rovsing

  • 1Glostrup Hospital, Operations- og Anaestesiologisk Afdeling Y, Denmark. majkjaergaard@hotmail.com

Ugeskrift for Laeger
|May 7, 2010
PubMed

We report a case of accidental intra-arterial injection of propofol in a 37-year-old woman admitted for gynaecological surgery. The patient first reported pain and then demonstrated hyperaemia and swelling of the hand lasting for 15 minutes. No specific treatment was required, all symptoms disappeared spontaneously and the patient was discharged without any functional deficit. It is, nevertheless, important to prevent or discover accidental intra-arterial cannulation. When infusion is difficult or when strong pain appears during propofol administration, accidental intra-arterial injection must be excluded.

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