Vascular complication following lipid free propofol injection.
نویسندگان
چکیده
Though there are controversies as to whether operative intervention is necessary in younger patients, in patients over forties, most surgeons agree that the first line of treatment would be conservative, as the re-dislocation rate in this age group is less likely. The best position to place the arm in for optimum results is also being re-evaluated. Classical rehabilitation with progressive passive and active physiotherapy of both shoulders is mandatory. The aim of the article is to report this rare injury and to highlight the mechanism that produces such injury.
منابع مشابه
A potential mechanism of propofol-induced pain on injection based on studies using nafamostat mesilate.
To elucidate the mechanism of propofol-induced pain on injection, we performed several studies using nafamostat mesilate, a kallikrein inhibitor, or lidocaine. As both pretreatment and low-dose mixing with nafamostat produced the same effects on pain reduction, we used the latter method in the following experiments. Low-dose mixing had the same effect on injection pain as mixing with lidocaine....
متن کاملComparison of effects of ephedrine, lidocaine and ketamine with placebo on injection pain, hypotension and bradycardia due to propofol injection: a randomized placebo controlled clinical trial.
Propofol is a widely used anesthetic drug because of its minor complication and also its fast effect. One of most popular complication in using this drug is pain during injection that is more sever in new generation of its components (lipid-free microemulsion). Other complications of propofol are bradycardia and hypotension. This study compares 3 drugs with placebo in control of these complicat...
متن کاملThe Effect of Intravenous Dexamethasone and Lidocaine on Propofol-Induced Vascular Pain: A Randomized Double-Blinded Placebo-Controlled Trial
Background. The mechanism for pain associated with intravenous administration of propofol is believed to be related to the release of nitric oxide. We hypothesized that pain following propofol injection would be reduced by pretreatment with dexamethasone. Methods. One hundred fourteen female subjects received 5 mL of preservative-free saline, 0.5 mg · kg(-1) of lignocaine hydrochloride 10 mg · ...
متن کاملPain on injection with propofol
This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. CC The use of propofol often results in pain on injection, which is sometimes very distre...
متن کاملComparison on pain on injection of a small particle size-lipid emulsion of propofol and standard propofol with or without lidocaine.
Pain on injection, reported in 28-90% of patients, is one of the most described side effects of the intravenous application of propofol. Many different approaches have been used in attempts to minimize propofol induced pain, with varied results. Using a randomized, double-blind protocol design, the author-section pain following the administration of two different particle size formulations of p...
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ورودعنوان ژورنال:
- Journal of postgraduate medicine
دوره 51 1 شماره
صفحات -
تاریخ انتشار 2005