Propofol extravasation in a breast cancer patient

A breast cancer patient experienced an accidental propofol extravasation in the dorsum of her hand during a Port-A-Cath replacement. She had heavy pain which was treated with analgesics. The patient's hand was cooled and kept in an upright position. Three days later the patient received her las...

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Bibliographic Details
Published in:	Journal of oncology pharmacy practice Vol. 14; no. 4; pp. 195 - 198
Main Authors:	Huijbers, EJM, Baars, JW, Schutte, PFE, Schellens, JHM, Beijnen, JH
Format:	Journal Article
Language:	English
Published:	London, England SAGE Publications 01-12-2008 Sage Publications Ltd
Subjects:	Accidents Adult Anesthetics, Intravenous - administration & dosage Anesthetics, Intravenous - adverse effects Breast Neoplasms - complications Breast Neoplasms - drug therapy Case studies Cyclophosphamide - therapeutic use Doxorubicin - therapeutic use Extravasation of Diagnostic and Therapeutic Materials - etiology Extravasation of Diagnostic and Therapeutic Materials - therapy Female Hands Humans Intubation Medical procedures Propofol - administration & dosage Propofol - adverse effects extravasation treatment (propofol010508) propofol anaesthesia accidental
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Summary:	A breast cancer patient experienced an accidental propofol extravasation in the dorsum of her hand during a Port-A-Cath replacement. She had heavy pain which was treated with analgesics. The patient's hand was cooled and kept in an upright position. Three days later the patient received her last AC (adriamycin/ cyclophosphamide) course without complications. Propofol extravasation did not result in tissue necrosis in this case. AC chemotherapy could be administered safely 3 days after propofol extravasation.
ISSN:	1078-1552 1477-092X
DOI:	10.1177/1078155208094454