You are a newly minted anesthesia resident and are called to assist in the anesthesia of a patient undergoing a painful reduction of a fracture (there is a fracture, I must fix it). You did an induction at the beginning of your shift 12 hours ago and still have half a bottle of propofol in your pocket. You go ahead and use it to induce anesthesia, and there are no problems. The orthopedic surgeon is happy, and you go on your way. A couple hours later, a rapid response team is called and you rush to the bedside to find that it is the very same patient. He's febrile, tachycardic, hypotensive, and tachypneic. He is diaphoretic with bounding pulses.
Challenge: What happened?
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