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Anesth Analg 2004;99:1573-1574
© 2004 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000134860.73875.CF

GENERAL ARTICLES

Prolonged Postoperative Disorientation After Methylene Blue Infusion During Parathyroidectomy

Kevin K. Bach, MD*, Fred W. Lindsay, MD*, Lamont S. Berg, MD{dagger}, and Red S. Howard, MD PhD{dagger}

Department of *Otolaryngology and {dagger}Anesthesiology, Naval Medical Center San Diego, California

Address correspondence and reprint requests to Red Howard, Department of Anesthesiology, Naval Medical Center, 34800 Bob Wilson Dr., San Diego, CA 92134. Address e-mail to rhoward{at}ucsd.edu

Methylene blue 7.5 mg/kg is frequently given at our institution during parathyroidectomy. The dye preferentially stains the parathyroids so as to provide better surgical visualization. Other than causing a pseudocyanosis, the technique is generally considered to be rather innocuous. We report a case of a patient who, after this procedure, had a postoperative course that was unusual because of slowly resolving altered mental status.

IMPLICATIONS: We report the case of a patient who, after a large dose of methylene blue, had a postoperative course that was unusual because of slowly resolving altered mental status.




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C. Siebert, S. Kroeber, and N. Lutter
Prolonged Postoperative Disorientation After Methylene Blue Infusion During Parathyroidectomy
Anesth. Analg., August 1, 2005; 101(2): 608 - 609.
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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2004 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2004 by the International Anesthesia Research Society.