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Introduction {#sec1-1}
============

Propofol, a widely used intravenous (IV) induction agent, is often used in outpatients. However, IV induction using propofol causes hypotension, which in turn can be associated with a number of fatal complications, including cardiac arrest.\[[@ref1]\] The solution to these complications is rapid infusion of epinephrine to increase blood pressure.\[[@ref2]\]

Case Report {#sec1-2}
===========

A 56-year-old male with no significant medical history received induction with 10 mg/kg of propofol. Propofol caused hypotension and bradycardia. Epinephrine 1 mg IV was administered, the response to which was insufficient to treat hypotension. Vasopressin 0.01 U/kg IV was administered and this resulted in stabilization of blood pressure. Since the initial hypotension developed during the administration of propofol, the initial dosage of propofol could have been too small. We have used propofol in doses from 4 to 6 mg/kg.

Given that vasopressin 0.01 U/kg IV is one of the first choices, a failure to consider the dose of the drug can lead to serious consequences. As a general rule, the dose of the drug used should be doubled if the patient’s systolic blood pressure is \

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