Septic shock and Propofol

Started by yogenbhatt1, July 01, 2008, 02:47:28 PM

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yogenbhatt1

A 25 yr Female, posted for RT and D & C for primary sterility, pre op inv normal. WBC 8200. Nothing positive.
conducted with Medaz and Pentazocine, Propofol and O2 mask. Good recovery after a 10 min proceedure. Shifted to Wd.
Could not go home as she felt weak. By evening BP was 60/28 mm 124 Pulse
and 28 Breath PM . Rigors ++. Kept in hospital for observation.
Next day WBC 24000, fever, BP still 70 systolic. toxic look. Bil Patch in mid zone lungs. CVP line put and CVP 7 - 8 cm. Fluids, O2, Antibiotics started. Kept in ICCU. Dopamin support given. WBC 34000. Severe myealgia all over body.
Over next 2 days, Pulse slowly dropping, BP improving, renal output good. But took almost 5 days to recover.
Will you blame Propofol as the main cause? It was a fresh vial.  One more case was done after that from the same vial. Nothing happened to that patient.
Every time, when a cause is not found, some how Propofol manages to get blamed!!!!