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Related Concept Videos

Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
Drug Delivery: Parenteral Route01:29

Drug Delivery: Parenteral Route

The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
Prevention of Further Absorption of Poison01:14

Prevention of Further Absorption of Poison

In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...

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Related Experiment Video

Updated: Jun 13, 2026

Delivery of Cardioactive Therapeutics in a Porcine Myocardial Infarction Model
07:20

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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
Summary

Accidental intra-arterial injection of propofol caused temporary hand swelling and redness. Symptoms resolved spontaneously, highlighting the need to identify and prevent accidental arterial cannulation during propofol administration.

Area of Science:

  • Anesthesiology
  • Pharmacology

Background:

  • Propofol is a common anesthetic agent.
  • Accidental intra-arterial injection is a rare but serious complication.

Observation:

  • A 37-year-old woman received accidental intra-arterial propofol during gynecological surgery.
  • The patient experienced immediate hand pain, hyperemia, and swelling.

Findings:

  • Symptoms were transient, resolving spontaneously within 15 minutes.
  • No specific treatment was required, and the patient had no functional deficit.

Implications:

  • Clinicians must be vigilant to prevent accidental arterial cannulation.
  • Difficulty during infusion or sudden pain during propofol administration warrants exclusion of intra-arterial injection.

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