Anesth Analg 2002;94:1237-1240
© 2002 International Anesthesia Research Society
ANESTHETIC PHARMACOLOGY
Dystonic Reaction to Propofol Attenuated by Benztropine (Cogentin)
Belinda M. Schramm, MB BS, FANZCA, and
Beverley A. Orser, MD PhD
Department of Anaesthesia, Sunnybrook & Womens College Health Sciences Centre, University of Toronto, Canada
Address correspondence and reprint requests to Beverley Orser, MD, PhD, Department of Anaesthesia, Sunnybrook & Womens College Health Sciences Centre, University of Toronto, 2075 Bayview Ave., Toronto, Ontario, M4N 3M5, Canada. Address e-mail to beverley.orser{at}utoronto.ca
IMPLICATIONS: Neuroexcitatory movements associated with propofol anesthesia are well recognized. Here we report on the successful use of benztropine (2 mg) to abolish abnormal dystonic movements after propofol anesthesia. Forty-five case reports are reviewed, and a treatment strategy for abnormal movements during propofol anesthesia is provided.
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