Hickey Kenneth S, Martin David F, Chuidian Francis X
Department of Emergency Medicine, Virginia Commonwealth University Medical Center, Richmond, Virginia 23298, USA.
J Emerg Med. 2005 Nov;29(4):447-9. doi: 10.1016/j.jemermed.2005.05.009.
Procedural sedation is a common practice in Emergency Medicine. Propofol has supplanted benzodiazepines in many centers as the drug of choice for procedural sedation. This article reports a case of seizure-like activity in an elderly man undergoing procedural sedation for a fracture reduction. The seizure-like activity was attributed to propofol. A review of the literature is discussed. When using propofol for sedation one should be aware of the risk of seizure-like activity.
程序性镇静是急诊医学中的常见操作。在许多中心，丙泊酚已取代苯二氮䓬类药物，成为程序性镇静的首选药物。本文报告了一例老年男性在接受骨折复位程序性镇静时出现类似癫痫发作活动的病例。这种类似癫痫发作的活动被归因于丙泊酚。文中还讨论了文献综述。使用丙泊酚进行镇静时，应意识到存在类似癫痫发作活动的风险。
