title: Additive effect of propofol and fentanyl precipitating cardiogenic shock.
abstract: The intravenous administration of propofol and fentanyl has become a common practice in a variety of clinical settings including outpatient dermatologic, cosmetic and oral surgery. The combination provides both systematic sedation and analgesia with low incidence of unwanted side effects. The cardiogenic shock is very uncommon in healthy individuals. The cardiovascular depressive effect of propofol and fentanyl has been well established, but the development of cardiogenic shock is very rare when these drugs are used together. Hence the awareness of this effect is advantageous to the patients undergoing such surgeries.
authors: Department of Pharmacology, Meenakshi Medical College and Research Institute (Meenakshi University), Enathur, Kancheepuram, Tamil Nadu, India.
authors: Ac Jesudoss
authors: AJ
authors: Prabhakaran
keywords: Echocardiography; left ventricular ejection fraction; myocardial infarction
references: J Cardiothorac Vasc Anesth. 2009 Dec;23(6):878-85
references: 19577484
references: Emerg Med Australas. 2011 Aug;23(4):458-65
references: 21824313
references: J Intensive Care Med. 2011 Mar-Apr;26(2):59-72
references: 21464061
references: AANA J. 2011 Jun;79(3):181-8
references: 21751687
references: J Card Surg. 2010 Jul;25(4):425-33
references: 20412350
references: Resuscitation. 2011 Sep;82(9):1243-5
references: 21536364
references: Am J Ther. 2009 Jul-Aug;16(4):339-53
references: 19092649
references: Paediatr Anaesth. 2008 Jun;18(6):488-93
references: 18312523
references: J Anaesthesiol Clin Pharmacol. 2011 Jan;27(1):74-8
references: 21804711
references: Heart Dis. 2002 Nov-Dec;4(6):355-7
references: 12441012
references: Curr Opin Obstet Gynecol. 2011 Apr;23(2):87-93
references: 21297474
references: J Indian Med Assoc. 2010 Nov;108(11):764-8
references: 21510576
references: Congest Heart Fail. 2010 Mar-Apr;16(2):80-1
references: 20412475