Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 16, 2022; 10(26): 9411-9416
Published online Sep 16, 2022. doi: 10.12998/wjcc.v10.i26.9411
Uncontrolled high blood pressure under total intravenous anesthesia with propofol and remifentanil: A case report
Min Jung Jang, Jee Hee Kim, Hae Jeong Jeong
Min Jung Jang, Jee Hee Kim, Hae Jeong Jeong, Anesthesiology and Pain Medicine, National Cancer Center, Goyang 10408, South Korea
Author contributions: Jang MJ, Kim JH, and Jeong HJ contributed to the conception and design of the study; Jang MJ drafted the manuscript; Kim JH and Jeong HJ made critical revisions; all authors have read and approve the final manuscript.
Informed consent statement: A written informed consent was obtained from the patient for publication of this case report.
Conflict-of-interest statement: The authors declare that there is no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Hae Jeong Jeong, PhD, Professor, Anesthesiology and Pain Medicine, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang 10408, South Korea.
Received: April 10, 2022
Peer-review started: April 10, 2022
First decision: May 30, 2022
Revised: June 6, 2022
Accepted: August 12, 2022
Article in press: August 12, 2022
Published online: September 16, 2022
Core Tip

Core Tip: Although propofol generally reduces blood pressure, it has been known to rarely cause hypertension. However, studies on this mechanism and related case reports are rare. We report a case of uncontrolled hypertension in a 46-year-old woman with no medical history who was administered total intravenous anesthesia with propofol and remifentanil. In our study, other factors that could cause an increase in blood pressure were excluded, and we concluded that propofol was the cause of hypertension. This is a rare, but useful, case for the anesthetic management of propofol-induced hypertension.