Last modified: 26th April 2023
Reducing the substrate available to form propionic acid is the main focus for perioperative care.
Substrates include: protein catabolism due to fasting, certain neuromuscular blocking drugs, NSAIDS, and propofol.
These patients are at risk of QT prolongation.
Propofol has been used safely as a bolus and brief infusion, but prolonged infusion should be used with caution.