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Unilateral Rhinorrhea and Sneezing After Upper Gastrointestinal Endoscopy Under Intravenous Propofol Sedation With Supplemental Oxygen Administered via a Nasal Cannula: A Case Report

Rah, Kang H. MD*; Merkel, Ira S. MD

doi: 10.1213/XAA.0000000000000835
Case Reports

We present a rarely described complication of unilateral rhinorrhea and sneezing in a patient who received intravenous sedation with propofol and supplemental oxygen via a nasal cannula during upper gastrointestinal endoscopy. The literature is reviewed and a mechanism is proposed. Mechanical irritation of the nasal mucosa is felt to be the trigger. Suggestions to avoid and to treat are offered.

From the *Professor Emeritus of Anesthesiology

Department of Gastroenterology, Rutgers State University of New Jersey, New Brunswick, New Jersey.

Accepted for publication April 20, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Kang H. Rah, MD, Department of Anesthesiology, Rutgers State University of New Jersey, 714 Thistle Hill Ln, Somerset, NJ 08873. Address e-mail to

Copyright © 2018 International Anesthesia Research Society
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