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Cited by 579

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Metabolic acidosis and fatal myocardial failure after propofol infusion in children: five case reports.

Open access
Parke, T. J., Stevens, J. E., Rice, A. S., Greenaway, C. L., Bray, R. J., Smith, P. J., Waldmann, C. S., Verghese, C.·1992·BMJ

Abstract

OBJECTIVE--To examine the possible contribution of sedation with propofol in the deaths of children who were intubated and required intensive care. DESIGN--Case note review. SETTING--Three intensive care units. SUBJECTS--Five children with upper respiratory tract infections aged between 4 weeks and 6 years. RESULTS--Four patients had laryngotracheo-bronchitis and one had bronchiolitis. All were sedated with propofol. The clinical course in all five cases was remarkably similar: an increasing metabolic acidosis was associated with brady-arrhythmia and progressive myocardial failure, which did not respond to resuscitative measures. All children developed lipaemic serum after starting propofol. These features are not usually associated with respiratory tract infections. No evidence was found of viral myocarditis, which was considered as a possible cause of death. CONCLUSION--Although the exact cause of death in these children could not be defined, propofol may have been a contributing factor.

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Metadata

Authors
Parke, T. J., Stevens, J. E., Rice, A. S., Greenaway, C. L., Bray, R. J., Smith, P. J., Waldmann, C. S., & Verghese, C.
Venue
BMJ
Publisher
BMJ
Published
1992-09-12
Volume
305
Issue
6854
Pages
613-616
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
OpenAlex
W2076829739
Cited by
579
References
7
FWCI
21.10
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Metabolic acidosis and fatal myocardial failure after propofol infusion in children: five case reports. https://app.cochat.ai/papers/10.1136/bmj.305.6854.613
The paper
Parke, T. J., Stevens, J. E., Rice, A. S., Greenaway, C. L., Bray, R. J., Smith, P. J., Waldmann, C. S., & Verghese, C. (1992). Metabolic acidosis and fatal myocardial failure after propofol infusion in children: five case reports. BMJ. https://doi.org/10.1136/bmj.305.6854.613

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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