Douglas Robert J, Cadogan Mike
Emergency Department, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia.
Emerg Med Australas. 2008 Oct;20(5):437-40. doi: 10.1111/j.1742-6723.2008.01126.x.
Recent articles have described the increasing frequency of use of propofol as a sedating agent in the ED, and praise the safety profile of propofol when used in this manner. We describe a patient who developed torsade de pointes followed by ventricular fibrillation while undergoing propofol sedation for closed reduction of a mid-shaft fracture of the tibia and fibula. Possible reasons for the event are discussed, and suggestions are made for areas of further research.
近期的文章描述了急诊科使用丙泊酚作为镇静剂的频率不断增加，并称赞了以这种方式使用丙泊酚时的安全性。我们描述了一名患者，在接受丙泊酚镇静以闭合复位胫腓骨中段骨折的过程中发生了尖端扭转型室速，随后发展为心室颤动。文中讨论了该事件可能的原因，并对进一步研究的领域提出了建议。
