Green Urine: A Rare Adverse Effect of Propofol in Critically Ill Children

Propofol is an intravenous agent commonly used for anesthesia induction, procedural interventions, and sedation in intensive care units due to its rapid onset and relatively safe profile.In this report, we present the case of a 12-year-old male patient with traumatic brain injury who developed green urine following propofol infusion for sedation.After excluding other potential causes of urine discoloration, the propofol infusion was discontinued at the 50th hour, and the urine color returned to normal within 5 hours.We aimed to highlight that green urine, which may be alarming for clinicians, is a benign side effect of propofol and does not impact renal function.

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Publication Details

Journal
Turkish Journal of Pediatric Emergency and Intensive Care Medicine
Published
2025-06-13
DOI
https://doi.org/10.4274/cayd.galenos.2025.09326
Primary Topic
Methemoglobinemia and Tumor Lysis Syndrome
Type
article
Field-Weighted Citation Impact
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article

Green Urine: A Rare Adverse Effect of Propofol in Critically Ill Children

Meltem Erol, Abdulrahman Özel, Nurettin Onur Kutlu, Övgü Büke et al.
Turkish Journal of Pediatric Emergency and Intensive Care Medicine
Methemoglobinemia and Tumor Lysis Syndrome
article

Green Urine: A Rare Adverse Effect of Propofol in Critically Ill Children

Meltem Erol, Abdulrahman Özel, Nurettin Onur Kutlu, Övgü Büke, Servet Yüce, Selen Mandel Işıklı
article en

Abstract

Propofol is an intravenous agent commonly used for anesthesia induction, procedural interventions, and sedation in intensive care units due to its rapid onset and relatively safe profile.In this report, we present the case of a 12-year-old male patient with traumatic brain injury who developed green urine following propofol infusion for sedation.After excluding other potential causes of urine discoloration, the propofol infusion was discontinued at the 50th hour, and the urine color returned to normal within 5 hours.We aimed to highlight that green urine, which may be alarming for clinicians, is a benign side effect of propofol and does not impact renal function.

Turkish Journal of Pediatric Emergency and Intensive Care Medicine
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Methemoglobinemia and Tumor Lysis Syndrome
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