• Emerg Med Australas · Oct 2008

    Case Reports

    Cardiac arrhythmia during propofol sedation.

    • Robert J Douglas and Mike Cadogan.
    • Emergency Department, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia. rabs01@hotmail.com
    • Emerg Med Australas. 2008 Oct 1;20(5):437-40.

    AbstractRecent 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.

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