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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.




This article has been cited by other articles:


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J. L. Parlow and J. M. van Vlymen
The methylene blues: anticipating adverse reactions to non-anesthetic drugs/Le blues du methylene : prevenir les reactions indesirables aux medicaments non anesthesiques
Can J Anesth, January 1, 2008; 55(1): 1 - 5.
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 Canadian J. AnesthesiaHome page
B. K.W. Ng, A. J.D. Cameron, R. Liang, and H. Rahman
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Can J Anesth, January 1, 2008; 55(1): 36 - 41.
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R. Mihai, E. W. Mitchell, and J. Warwick
Dose-response and postoperative confusion following methylene blue infusion during parathyroidectomy
Can J Anesth, January 1, 2007; 54(1): 79 - 81.
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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 with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2004 by the International Anesthesia Research Society.