Propofol lipemia mimicking chyle leak during neck dissection
2006; Wiley; Volume: 28; Issue: 12 Linguagem: Inglês
10.1002/hed.20472
ISSN1097-0347
AutoresDavid E. Vokes, Mark E. Linskey, William B. Armstrong,
Tópico(s)Biomedical and Chemical Research
ResumoPropofol is an intravenous agent used in anesthesia. Lipemia is an uncommon adverse effect of propofol infusion.A patient undergoing neck dissection for recurrent chordoma had intraoperative lipemia develop after prolonged propofol infusion.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.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.
Referência(s)