Methemoglobinemia Due to Isosulfan Blue Used for Sentinel Lymph Node Mapping
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Case Report
P: 246-251
August 2012

Methemoglobinemia Due to Isosulfan Blue Used for Sentinel Lymph Node Mapping

Turk J Anaesthesiol Reanim 2012;40(4):246-251
1. Bağcılar Eğitim ve Araştırma Hastanesi Anesteziyoloji ve Reanimasyon
2. Bağcılar Eğitim ve Araştırma Hastanesi Genel Cerrahi
No information available.
No information available
Received Date: 23.06.2011
Accepted Date: 12.12.2011
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ABSTRACT

A 62 year- old woman, weighing 60 kg with ASA I was scheduled for sentinel lymph node biopsy. Her pulse oximetry values rapidly declined to a nadir of 88 % 30 min after subcutaneous injection of isosulfan blue. Arterial blood gas analysis revealed methemoglobinemia ([MetHb] = 5.2 %). Following 3 L/min O2 administration via nasal CPAP mask and 2x500 mg iv ascorbic acid treatment, methemoglobin levels dropped to 1.7 % after 15 hours. Although abnormal pulse oximetry has already been reported in association with isosulfan blue administration , methemoglobinemia due to isosulfan blue was reported just in a few cases.

Keywords: Methemoglobinemia, isosulfan

References

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