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Journal of Education, Health and Sport

Safety and side effects of propofol in clinical practice - literature overview
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Safety and side effects of propofol in clinical practice - literature overview

Authors

  • Maciej Lambach Medical University of Lublin, Racławickie 1 avenue, 20-059 Lublin https://orcid.org/0009-0004-3348-4272
  • Gabriela Demidowicz Independent Public Clinical Hospital No. 4 in Lublin, Jaczewskiego 8 street, 20-954 Lublin, Poland https://orcid.org/0009-0007-6150-130X
  • Natalia Trąbka Independent Public Clinical Hospital No. 4 in Lublin, Jaczewskiego 8 street, 20-954 Lublin, Poland https://orcid.org/0000-0001-8204-4741
  • Klaudia Kowalczyk Pharmacy “Centrum Zdrowia”, Grunwaldzka 21 street, 72-600 Świnoujście, Poland https://orcid.org/0009-0006-9661-2299
  • Nina Lasota County Health Center in Brzeziny sp. z.o.o. st. Marii Skłodowska-Curie 6, 95-006 Brzeziny https://orcid.org/0009-0005-6625-4139
  • Wojciech Wiśniewski Stefan Kardynał Wyszyński Province Specialist Hospital in Lublin, Kraśnicka 100 avenue, 20-718 Lublin, Poland https://orcid.org/0009-0002-0860-5808
  • Małgorzata Chyćko 7th Navy Hospital in Gdańsk Polanki 117 street, 80-305 Gdańsk https://orcid.org/0000-0002-1515-6038
  • Julia Czarnota Franciszek Raszeja Memorial Municipal Hospital in Poznań Mickiewicza 2 street, 60-834 Poznań https://orcid.org/0009-0009-9918-9168
  • Katarzyna Cichoń Independent Public Clinical Hospital No. 4 in Lublin. Jaczewskiego 8 street, 20-954 Lublin https://orcid.org/0009-0008-6965-3508
  • Martyna Younes Najświętszej Maryi Panny Specialist District Hospital in Częstochowa Bialska 104/118 street 42-202 Częstochowa https://orcid.org/0009-0000-0544-600X

DOI:

https://doi.org/10.12775/JEHS.2023.38.01.017

Keywords

propofol, propofol bradycardia, propofol infusion pain, propofol hypotension, propofol neuroprotection, propofol infusion syndrome

Abstract

Introduction and purpose

Since people have been conducting surgeries to improve their health, they have always faced the problem of pain that these actions inevitably bring. Propofol as an anesetic is one of the solutions to these problems. Due to the widespread use of this drug, its side effects are often observed. This paper aims to gather the available knowledge about the adverse reactions of propofol in clinical practice and to present ways to reduce the risk of their occurrence described in the literature.

Material and methods

The following review of the work was based on viewable data obtained from the PubMed database and Google Scholar. The key words used in the search were: propofol, propofol infiusion syndrome, propofol bradycardia, propofol infusion pain, propofol neuroprotection, propofol hypotension.

Conclusions

Studies indicate a number of possible solutions to reduce the risk or intensity of individual side effects. . There are many possibilities, both pharmacological and non-pharmacological, fulfilling this task – administration of propofol simultaneously with drugs of other groups responsible for sedation, replacement of propofol with another sedation drug in selected situations, cold compresses, analgetic usage of vibrations. These methods require further research and the development of appropriate protocols for use in clinical situations.

References

Walsh CT. Propofol: milk of amnesia. Cell [Internet]. September 2018;175(1):10-3. Available in: https://doi.org/10.1016/j.cell.2018.08.031

Moos DD. Propofol. Gastroenterol Nurs [Internet]. March 2006;29(2):176-8. Available in: https://doi.org/10.1097/00001610-200603000-00097

Sun B, Ou H, Ren F, Huan Y, Zhong T, Gao M, Cai H. Propofol inhibited autophagy through Ca2+/CaMKKβ/AMPK/mTOR pathway in OGD/R-induced neuron injury. Mol Med [Internet]. 23 November 2018;24(1). Available in: https://doi.org/10.1186/s10020-018-0054-1

Singh A, Anjankar AP. Propofol-Related infusion syndrome: a clinical review. Cureus [Internet]. 17 October 2022. Available in: https://doi.org/10.7759/cureus.30383

Li WK, Chen XJ, Altshuler D, Islam S, Spiegler P, Emerson L, Bender M. The incidence of propofol infusion syndrome in critically-ill patients. J Crit Care [Internet]. October 2022;71:154098. Available in: https://doi.org/10.1016/j.jcrc.2022.154098

Hausburg MA, Banton KL, Roman PE, Salgado F, Baek P, Waxman MJ, Tanner A, Yoder J, Bar-Or D. Effects of propofol on ischemia-reperfusion and traumatic brain injury. J Crit Care [Internet]. April 2020;56:281-7. Available in: https://doi.org/10.1016/j.jcrc.2019.12.021

Hemphill S, McMenamin L, Bellamy MC, Hopkins PM. Propofol infusion syndrome: a structured literature review and analysis of published case reports. Br J Anaesth [Internet]. April 2019;122(4):448-59. Available in: https://doi.org/10.1016/j.bja.2018.12.025

Shimizu J, Tabata T, Tsujita Y, Yamane T, Yamamoto Y, Tsukamoto T, Ogawa N, Kim H, Urushitani M, Eguchi Y. Propofol infusion syndrome complicated with mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke‐like episodes: a case report. Acute Med Amp Surg [Internet]. 4 December 2019;7(1). Available in: https://doi.org/10.1002/ams2.473

Mirrakhimov AE, Voore P, Halytskyy O, Khan M, Ali AM. Propofol infusion syndrome in adults: a clinical update. Crit Care Res Pract [Internet]. 2015;2015:1-10. Available in: https://doi.org/10.1155/2015/260385

Ayele T, Ezeh E, Al-Qawasmi L, Ugonabo OS, Saylor J, Dial L. Diagnosed by reversibility: unmasking propofol-related infusion syndrome in a critically-ill elderly male. Cureus [Internet]. 26 March 2022. Available in: https://doi.org/10.7759/cureus.23504

Honore PM, Spapen HD. Propofol infusion syndrome: early blood purification to the rescue? Crit Care [Internet]. 4 July 2016;20(1). Available in: https://doi.org/10.1186/s13054-016-1364-8

Tramèr MR, Moore RA, McQuay HJ. Propofol and bradycardia: causation, frequency and severity. Br J Anaesth [Internet]. June 1997;78(6):642-51. Available in: https://doi.org/10.1093/bja/78.6.642

Jakob SM. Dexmedetomidine vs midazolam or propofol for sedation during prolonged mechanical ventilation. Jama [Internet]. 21 March 2012;307(11):1151. Available in: https://doi.org/10.1001/jama.2012.304

Brotherton AL, Hamilton EP, Kloss HG, Hammond DA. Propofol for treatment of refractory alcohol withdrawal syndrome: a review of the literature. Pharmacotherapy [Internet]. April 2016;36(4):433-42. Available in: https://doi.org/10.1002/phar.1726

Yao Y, Guan J, Liu L, Fu B, Chen L, Zheng X. Discharge readiness after remimazolam versus propofol for colonoscopy. Eur J Anaesthesiol [Internet]. 6 July 2022; Publish Ahead of Print. Available in: https://doi.org/10.1097/eja.0000000000001715

Liu Y, Yu X, Zhu D, Zeng J, Lin Q, Zang B, Chen C, Liu N, Liu X, Gao W, Guan X. Safety and efficacy of ciprofol vs propofol for sedation in intensive care unit patients with mechanical ventilation. Chin Med J [Internet]. 16 December 2021; Publish Ahead of Print. Available in: https://doi.org/10.1097/cm9.0000000000001912

Xin N, Yan W, Jin S. Efficacy of analgesic propofol/esketamine and propofol/fentanyl for painless induced abortion: a randomized clinical trial. BioMed Res Int [Internet]. 9 June 2022; 2022:1-6. Available in: https://doi.org/10.1155/2022/5095282

Zhang R, Lu Q, Wu Y. The comparison of midazolam and propofol in gastrointestinal endoscopy. Surg Laparosc Endosc Amp Percutaneous Tech [Internet]. May 2018 Available in: https://doi.org/10.1097/sle.0000000000000532

Edokpolo LU, Mastriano DJ, Serafin J, Weedon JC, Siddiqui MT, Dimaculangan DP. Discharge readiness after propofol with or without dexmedetomidine for colonoscopy. Anesthesiology [Internet]. 1 August 2019;131(2):279-86. Available in: https://doi.org/10.1097/aln.0000000000002809

Schonberger RB, Dai F, Michel G, Vaughn MT, Burg MM, Mathis M, Kheterpal S, Akhtar S, Shah N, Bardia A. Association of propofol induction dose and severe pre-incision hypotension among surgical patients over age 65. J Clin Anesthesia [Internet]. September 2022;80:110846. Available in: https://doi.org/10.1016/j.jclinane.2022.110846

Sneyd JR, Absalom AR, Barends CR, Jones JB. Hypotension during propofol sedation for colonoscopy: a retrospective exploratory analysis and meta-analysis. Br J Anaesth [Internet]. April 2022;128(4):610-22. Available in: https://doi.org/10.1016/j.bja.2021.10.044

Sekiguchi R, Kinoshita M, Kawanishi R, Kakuta N, Sakai Y, Tanaka K. Comparison of hemodynamics during induction of general anesthesia with remimazolam and target-controlled propofol in middle-aged and elderly patients: a single-center, randomized, controlled trial. BMC Anesthesiol [Internet]. 10 January 2023;23(1). Available in: https://doi.org/10.1186/s12871-023-01974-9

Ji L, Sun W, Lan Y, Xia C, Yu G, Wu Q, Yang S, Xu X. Dexmedetomidine for prevention of propofol injection pain upon induction of anesthesia: a meta-analysis. Eur J Clin Pharmacol [Internet]. 8 May 2020;76(8):1103-10. Available in: https://doi.org/10.1007/s00228-020-02889-x

Wang W, Wu L, Zhang C, Sun L. Is propofol injection pain really important to patients? BMC Anesthesiol [Internet]. 17 February 2017;17(1). Available in: https://doi.org/10.1186/s12871-017-0321-7

Guan X, Jiao Z, Gong X, Cao H, Liu S, Lan H, Huang X, Tan Y, Xu B, Lin C. Efficacy of pre-treatment with remimazolam on prevention of propofol-induced injection pain in patients undergoing abortion or curettage: a prospective, double-blinded, randomized and placebo-controlled clinical trial. Drug Des Dev Ther [Internet]. October 2021;Volume 15:4551-8. Available in: https://doi.org/10.2147/dddt.s334100

Bakhtiari E, Mousavi SH, Gharavi Fard M. Pharmacological control of pain during propofol injection: a systematic review and meta-analysis. Expert Rev Clin Pharmacol [Internet]. 1 June 2021;14(7):889-99. Available in: https://doi.org/10.1080/17512433.2021.1919084

Wang W, Zhou L, Wu LX, Wang T, Zhang CB, Sun L. 5-HT3 receptor antagonists for propofol injection pain: a meta-analysis of randomized controlled trials. Clin Drug Investig [Internet]. 10 February 2016;36(4):243-53. Available in: https://doi.org/10.1007/s40261-016-0375-1

Karki Y, Sarna R, Singh N, Chauhan R, Meena SC, Luthra A, Thappa P. Prevention of pain on injection of propofol using ice gel pack versus pre-treatment with lignocaine: a randomized controlled trial. J Anesthesia [Internet]. 14 June 2023. Available in: https://doi.org/10.1007/s00540-023-03216-1

Hwang LK, Nash DW, Yedlin A, Greige N, Larios-Valencia J, Choice C, Pothula A. The effect of vibration on pain during intravenous injection of propofol. Ann Plast Surg [Internet]. 18 March 2021;Publish Ahead of Print. Available in: https://doi.org/10.1097/sap.0000000000002827

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Published

2023-10-05

How to Cite

1.
LAMBACH, Maciej, DEMIDOWICZ, Gabriela, TRĄBKA, Natalia, KOWALCZYK, Klaudia, LASOTA, Nina, WIŚNIEWSKI, Wojciech, CHYĆKO, Małgorzata, CZARNOTA, Julia, CICHOŃ, Katarzyna and YOUNES, Martyna. Safety and side effects of propofol in clinical practice - literature overview. Journal of Education, Health and Sport. Online. 5 October 2023. Vol. 38, no. 1, pp. 246-257. [Accessed 28 June 2025]. DOI 10.12775/JEHS.2023.38.01.017.
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Vol. 38 No. 1 (2023)

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Review Articles

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Copyright (c) 2023 Maciej Lambach, Gabriela Demidowicz, Natalia Trąbka, Klaudia Kowalczyk, Nina Lasota, Wojciech Wiśniewski, Małgorzata Chyćko, Julia Czarnota, Katarzyna Cichoń, Martyna Younes

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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