Seizure-like reactions induced by propofol in dogs: prevalence and clinical insight

Reações semelhantes a convulsões induzidas por propofol em cães: prevalência e visão clínica

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Resumo

This study investigated the incidence of seizure-like reactions induced by propofol in dogs treated at the Veterinary Hospital of UNIUBE over three years, highlighting its low frequency and the scarcity of reports in veterinary literature. During the study period, the prevalence of these reactions was 0,02% among dogs receiving propofol as a sedative or anesthetic agent. One case was described and discussed: a three-year-old female dog presented the reaction during anesthetic induction for elective ovariohysterectomy, was treated with ketamine, and showed resolution of signs, allowing the surgery to proceed without complications. Although rare, seizure-like reaction can occur in healthy, young dogs. Several theories have been proposed to explain its mechanism, including propofol antagonism to glycine receptors, stimulation of subcortical dopaminergic areas, and toxicity of metabolites. Ketamine treatment was effective in stopping the crisis in this specific case. In conclusion, seizure-like reaction is a reality in veterinary surgical centers, and ketamine administration is an effective option for its treatment.

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Referências

BORGEAT, A. Propofol: Pro or anticonvulsant Drug? European Journal of Anaesthesiology, Homburgv, v. 14, n. 15, p. 17-20, 1997.

CASSIDY, M.; HOUSTON, J. In vivo capacity of hepatic and extrahepatic enzymes to conjugate phenol. Drug Metabolism and Disposition, v. 12, n. 5, p. 619-624, 1984.

CATTAI, A.; RABOZZI, R.; NATALE, V.; FRANCI, P. The incidence of spontaneous movements (myoclonus) in dogs undergoing total intravenous anaesthesia with Propofol. Veterinary Anaesthesia and Analgesia, v. 42, n. 1, p. 8-93, 2015.

COKAY-ABUT, Y.; GULLEROGLU, A.; KULABERSAYIN, A.; VAROL, S.; ALDEMIR, T. Propofol and seizure-like activity. Bagcilar Medical Bulletin, Istambul, v. 3, n. 1, p. 7-10, 2018.

COSETINO, C.; TORRES, L. Propofol-induced paroxysmal dystonia. Parkinsonism and Relat Disord. v.18, p. 115 – 116, 2012.

DAVIES, C. Excitatory phenomena following the use of propofol in dogs. Journal of Veterinary Anaesthesia, v. 18, n. 1, p. 48–51, 199.

GARG R.; DEHRAN, M. Convulsions with Propofol: A rare adverse event. Journal of Postgraduate Medicine, v. 55, p. 69-71, 2009.

GUEDEL, A. E. Inhalation anesthesia. 2.ed. New York: MacMillan. 1951.

HICKEY, K. S.; MARTIN, D. F.; CHUIDIAN, F. X. Propofol-Induced Seizure-Like Phenomena. The Journal of Emergency Medicine, v. 29, n. 4, p. 447-449, 2005.

HUNTSMAN, R. J.; STRUEBY, L.; BINGHAM, W. Are Ketamine infusions a viable therapeutic option for refractory neonatal seizures? Pediatric Neurology, v. 103, p. 8-11, 2020.

ISLANDER, G.; VINGE, E. Case Report Severe neuroexcitatory symptoms after anaesthesia – with focus on Propofol anaesthesia. Acta Anaesthesiol Scand, v. 44, p. 144 –149, 2000.

JOHNSON, J. W.; ASCHER, P. Glycine potentiates the NMDA response in cultured mouse brain neurons. Nature, v. 325, p.529-531, 1987.

KAY, B.; ROLLY, G. A new intravenous induction agent. Acta Anesthesiologica Belgica, v. 28, p. 303-317, 1977.

LÓPEZ, H. S.; IZQUIERDO, P.; GALLARDO, N. P.; MEDINA, J. A. C. Anestesia general con propofol en perros mediante infusión continua. Experiencias Clínicas Veterinaria, Mexico, v. 25, p. 199-205, 1994.

MEYER, S.; SHAMDEEN, M. G.; KEGEL, B.; MENCKE, T.; GOTTSCHLING, S.; GORTNER, L.; GRUNDMANN, U. Effect of Propofol on seizure-Like phenomena and electroencephalographic activity in children with epilepsy vs children with learning difficulties. Anaesthesia, v. 61, n. 11, p. 1040-1047, 2006.

PATEL, S.; WOHLFEIL, E.; RADEMACHER, D.; CARRIER, E. J.; PERRY, L. J.; KUNDU, A.; FALCK, J. R.; NITHIPATIKOM, K.; CAMPBELL, W. B.; HILLARD, C. J. The general anesthetic propofol increases brain N-arachidonylethanolamine (anandamide) content and inhibits fatty acid amide hydrolase. British Pharmacological Society, v. 139, n. 5, p. 1005-1013, 2004.

QUADROS, E. A.; NEVES, H. A.; AFONSO, M. V. R.; LOPES, M. G.; TEODORO, A. N.; ROSADO, I. R.; ALVES, E. G. L. Segurança e eficácia em campanhas de castração: Análise crítica de protocolos anestésicos em cães e gatos. Peer Review, v. 5, n. 25, p. 474– 488, 2023.

RIGUEIRA, B. N.; MENDES JUNIOR, A. F.; CHALHOUB, F. L. L. Association between clinical signs, epidemiological data and body condition score in dogs with brachycephalic syndrome. Research, Society and Development, [S. l.], v. 12, n. 14, p. 1 – 9, 2023.

ROCHA, M.; SANTANA, A.; SANTOS, C., SANTOS, L.; FREITAS, V.; COSTA, P. Reação a indução por Propofol em felino: relato de caso. Congresso de Inciação Cientifica, XXIX, UFPEL- Pelotas, 2020.

SCHRAMM, B. M.; ORSER, B. A. Dystonic reaction to propofol attenuated by benztropine (Cogentin). Anesthesia and Analgesia, v. 94, p. 1237 -1240, 2002.

SCHWAM, S. J.; GOLD, M. I.; CRAYTHORNE, U. W. The ASA Physical Status Classification: a revision. Anesthesiology, v.57, n. 3, p. 439, 1982.

SIEGEL, R.; AGRANOFF, B.; ALBERS, R. W.; MOLINOFF, P. Basic Neurochemistry – Molecular, Cellular and Medical Aspects, E.U.A: Raven Press, 4ª Ed., 1989.

VALADÃO, C. A. A. Anestesia Dissociativa. In: MASSONE, F. Anestesiologia Veterinária: Farmacologia e Técnicas. Rio de Janeiro: Guanabara Koogan. Cap. 9, p. 53-62. 2019.

VAN DEN BERG, A. A.; NEUVONEN P.; EZZ, M. Neuroexcitatory symptoms after propofol: a phenol related neurotoxic effect? Acta Anaesthesiologica Scandinavica, v. 45, n. 8, p. 1051, 2001.

VOSS, L.J.; ANDERSSON, L.; AND JADELIND, A. The general anesthetic Propofol induces ictal-Like seizure activity in hippocampal mouse brain slices. SpringerPlus, v. 24, p. 816-820, 2015.

WALDER, B.; TRAMÈR, M. R.; SEECK, M. Seizure-Like Phenomena and Propofol: A Systematic Review. Neurology, v. 58, n. 9, p. 1327-1332, 2002.

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2024-03-24

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