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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 & Women’s College Health Sciences Centre, University of Toronto, Canada

Address correspondence and reprint requests to Beverley Orser, MD, PhD, Department of Anaesthesia, Sunnybrook & Women’s 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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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2002 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2002 by the International Anesthesia Research Society.