Dystonic reaction to propofol attenuated by benztropine (cogentin).
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.
Schramm
Belinda M
BM
Department of Anaesthesia, Sunnybrook & Women's College Health Sciences Centre, University of Toronto, Ontario, Canada.
Orser
Beverley A
BA
D018686:Anesthetics, Intravenous / Q000009:adverse effects*; D001590:Benztropine / Q000627:therapeutic use*; D004421:Dystonia / Q000139:chemically induced* / Q000188:drug therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D018727:Muscarinic Antagonists / Q000627:therapeutic use*; D015742:Propofol / Q000009:adverse effects*
D018686:Anesthetics, Intravenous; D018727:Muscarinic Antagonists; D001590:Benztropine; D015742:Propofol