Chest pain after intravenous propofol injection in a patient receiving long-term chronic hemodialysis

Pain during intravenous propofol injection occurs in 60% –70% of patients.1 Anterior chest wall pain secondary to propofol injection has not previously been reported. A 54-year-old man with a history of hemodialysis for chronic renal failure presented for arteriovenous graft revision under general anesthesia. Since the left and right forearms, antecubit al fossae, and upper arms had all been previously used for vascular access, the left thigh was selected for a new arteriovenous graft. Computed tomography revealed collateral circulation between the subcutaneous veins in the anterior chest and the veins in the upper extremities on each side (Figure 1).
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Letter to the Editor Source Type: research