alexa Cloudy Urine after Propofol Anesthesia; A Rare Occurren
ISSN: 2155-6148

Journal of Anesthesia & Clinical Research
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Case Report

Cloudy Urine after Propofol Anesthesia; A Rare Occurrence after a Routine Anesthetic

Ong YY1*, SY Thong1 and SY Ng2
1Associate Consultant, Singapore General Hospital, Singapore
2Consultant, Singapore General Hospital, Singapore
Corresponding Author : Yee Yian Ong
Department of Anesthesia
Block 2 Level 2, Singapore, General Hospital
Outram Road, Singapore 169608, Singapore
Tel:0065-63214220
E-mail: [email protected]
Received July 27, 2014; Accepted August 03, 2014; Published August 13, 2014
Citation: Ong YY, Thong SY, Ng SY (2014) Cloudy Urine after Propofol Anesthesia; A Rare Occurrence after a Routine Anesthetic. J Anesth Clin Res 5:432. doi: 10.4172/2155-6148.1000432
Copyright: © 2014 Ong YY, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

A 27 year old man with a history of achalasia presented for an elective laparoscopic pylorotomy under general anesthesia. He was well with no significant comorbidities nor risk factors for hyperuricemia. The patient underwent routine preoperative screening and preparation. He was intubated and a urinary catheter was inserted prior to the start of surgery. A total intravenous anesthesia technique with neuromuscular blockade was used. Propofol and remifentanil were infused to maintain anesthesia. After completion of the surgical procedure, anesthesia was stopped with cessation of the respective infusions and reversal of neuromuscular blockade. It was then observed that there was cloudy urine in the urinary bag. A sample of the urine was sent for further analysis and uric acid crystals were visualized under microscopy, causing the urine to take on a cloudy white appearance. The patient continued to be monitored in the post-operative care unit where the urine returned to being clear after an hour. The patient was followed up to the point of discharge. He was able to micturate normally and produced clear urine. Subsequent postoperative urinalysis did not show the presence of uric acid crystals.

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