Propofol

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Propofol Dystonia: case report A 34-year-old woman developed dystonia after induction of general anaesthesia with propofol for cervical dilatation and suction curettage after a miscarriage. The woman, who reported a history of having the ‘shakes’ after a previous anaesthesia for the same procedure, underwent anaesthesia with propofol [dosage not stated], sevoflurane, fentanyl and oxytocin. After an uneventful anaesthesia, she developed writhing rhythmic dystonic movements in the recovery room shortly after the removal of her laryngeal mask [time to reaction onset not clearly stated]. These involved her neck, head, legs and arms, and she reported that they were the same as her previous experience. The woman received midazolam which stopped her movements for about 5 minutes; however, as her consciousness improved, the movements returned. Her movements subsequently stopped after she was turned prone. She stayed prone for 30 minutes, after which she was turned supine and had no further dystonic movements. Steele RG, et al. Novel management of propofol induced dystonia in the post anaesthesia care unit. Anaesthesia and Intensive Care 35: 138, No. 1, Feb 2007 801062177 Australia

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Reactions 3 Mar 2007 No. 1141