Abstract:
:We report three cases of anaphylaxis during anaesthesia confirmed on intradermal testing to be related to patent blue V dye (Guerbet - Chemical Abstract Service 3536-49-0). All three cases were associated with moderate to severe hypotension. Two cases had delayed onset, and two were associated with a rash. None of the cases were associated with bronchospasm. In all three patients the interference with pulse oximetry readings contributed to difficulties in management. We recommend the use of a test dose of blue dye prior to surgery, as suggested in the manufacturer's product information. We also recommend high vigilance for possible allergic reactions when patent blue dyes are used for sentinel lymph node mapping, because the presentations may be atypical and the reduced pulse oximetry readings may be a distraction.
journal_name
Anaesth Intensive Carejournal_title
Anaesthesia and intensive careauthors
Howard JD,Moo V,Sivalingam Pdoi
10.1177/0310057X1103900221subject
Has Abstractpub_date
2011-03-01 00:00:00pages
287-92issue
2eissn
0310-057Xissn
1448-0271pii
20100477journal_volume
39pub_type
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