Blue dyes, blue people: the systemic effects of blue dyes when administered via different routes
Autor: | David Livingstone, Avner Sidi, Yakov Yusim |
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Rok vydání: | 2007 |
Předmět: |
Male
medicine.medical_specialty Color Indigo Carmine Methemoglobinemia Methemoglobin Drug Hypersensitivity chemistry.chemical_compound Edema Rosaniline Dyes Humans Medicine Cardiac Output Ephedrine Aged Skin medicine.diagnostic_test business.industry Middle Aged medicine.disease Surgery Methylene Blue Oxygen Hypersensitivity reaction Pulse oximetry Anesthesiology and Pain Medicine chemistry Indigo carmine Anesthesia Female medicine.symptom business Methylene blue medicine.drug |
Zdroj: | Journal of Clinical Anesthesia. 19:315-321 |
ISSN: | 0952-8180 |
DOI: | 10.1016/j.jclinane.2007.01.006 |
Popis: | We report 4 patients who had facial color changes to a blue-green-gray color and decreased oxygen saturation as measured by pulse oximetry. Patient 1 received an intravenous (IV) methylene blue solution during a urologic procedure, and the remaining three patients were administered subcutaneous indigo carmine (patient 2) or Patent Blue (Patients 3 and 4) for axillary lymph node mapping. All patients had above normal methemoglobin levels. Two (Patients 2 and 3) had hypotension, and one (Patient 3) required IV ephedrine to restore hemodynamic stability. Patient 4 had a hypersensitivity reaction characterized by systemic urticaria and blue-colored subintegumentary edema due to the subcutaneous administration. |
Databáze: | OpenAIRE |
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