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A A Case Rep ; 7(11): 243-246, 2016 Dec 01.
Article in English | MEDLINE | ID: mdl-27749294

ABSTRACT

This case report describes a 71-year-old woman who experienced unusual delayed emergence from propofol, which lasted for 3 hours and resulted in admission to the intensive care unit. Because genetic variations of propofol-metabolizing enzymes are proposed to be causal factors, we explored genetic polymorphisms of cytochrome P450 2B6 (CYP2B6) and uridine 5'-diphospho-glucuronosyltransferase 1A9 (UGT1A9). Suggested high-risk factors (advanced age, CYP2B6 516 G/T, and UGT1A9 I399 C/C) were observed in this case of delayed propofol metabolism. Therefore, genetic variants involved in propofol metabolism should be considered in unexplained delayed emergence.


Subject(s)
Anesthetics, Intravenous/pharmacokinetics , Cytochrome P-450 CYP2B6/genetics , Delayed Emergence from Anesthesia/genetics , Glucuronosyltransferase/genetics , Polymorphism, Single Nucleotide , Propofol/pharmacokinetics , Aged , Anesthetics, Intravenous/blood , DNA/blood , DNA/genetics , Delayed Emergence from Anesthesia/enzymology , Female , Genotype , Humans , Propofol/blood , UDP-Glucuronosyltransferase 1A9
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