Prolonged postoperative disorientation after methylene blue infusion during parathyroidectomy.

Bach, Kevin K; Lindsay, Fred W; Berg, Lamont S; Howard, Red S · Anesth Analg · 2004

case_report · Level V

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Abstract

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.

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