Crit Care Explor. 2020 Dec 16;2(12):e0303. doi: 10.1097/CCE.0000000000000303. eCollection 2020 Dec.
Propofol-Associated Hypertriglyceridemia in Coronavirus Disease 2019 Versus Noncoronavirus Disease 2019 Acute Respiratory Distress Syndrome.
Critical care explorations
Michael T Kenes, Jakob I McSparron, Vincent D Marshall, Karl Renius, Robert C Hyzy
Affiliations
Affiliations
- Department of Clinical Pharmacy, College of Pharmacy, University of Michigan, Ann Arbor, MI.
- Department of Pharmacy, Michigan Medicine, University of Michigan, Ann Arbor, MI.
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI.
PMID: 33354676
PMCID: PMC7746206 DOI: 10.1097/CCE.0000000000000303
Abstract
OBJECTIVES: To characterize the incidence and characteristics of propofol-associated hypertriglyceridemia in coronavirus disease 2019 versus noncoronavirus disease 2019 acute respiratory distress syndrome.
DESIGN: Single-center prospective, observational cohort study.
SETTING: Medical ICU and regional infectious containment unit.
PATIENTS: Patients with acute respiratory distress syndrome admitted from April 7, 2020, to May 15, 2020, requiring continuous propofol administration.
INTERVENTIONS: None.
MEASUREMENTS AND MAIN RESULTS: Of 50 patients enrolled, 54% had coronavirus disease 2019 acute respiratory distress syndrome. Median Acute Physiology and Chronic Health Evaluation II and Sequential Organ Failure Assessment scores were 35.5 (interquartile range, 30.2-41) and 8 (interquartile range, 6-9). Pao
CONCLUSIONS: Patients with coronavirus disease 2019 acute respiratory distress syndrome experienced a higher rate of propofol-associated hypertriglyceridemia than noncoronavirus disease 2019 acute respiratory distress syndrome patients, even after accounting for differences in propofol administration.
Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Society of Critical Care Medicine.
Keywords: coronavirus disease 2019; hypertriglyceridemia; inflammation; propofol; sedation
Conflict of interest statement
The authors have disclosed that they do not have any potential conflicts of interest.
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