Acute edema induced by toluidine blue extravasation-first report.
Wien Med Wochenschr
; 169(1-2): 41-43, 2019 Feb.
Article
em En
| MEDLINE
| ID: mdl-30349973
ABSTRACT
Methemoglobinemia is characterized by an increased level of methemoglobin (MetHb) in the peripheral blood. MetHb levels increase after tumescent anesthesia and need to be monitored. If a patient becomes symptomatic and/or the MetHb levels increase >10%, intravenous injection of an antidote is recommended. Toluidine blue is twice as effective as methylene blue in this respect.A 27-year-old woman with advanced lipedema underwent her third liposuction under tumescent anesthesia. After surgery, her MetHb levels increased and needed injection of toluidine blue. She developed an acute and painful edema after extravasation of some toluidine blue due to a bursting vein. This is the first report in the recent medical literature. Clinical presentation, course, and treatment are described.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Lipectomia
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Edema
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Metemoglobinemia
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Azul de Metileno
Limite:
Adult
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Female
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Humans
Idioma:
En
Revista:
Wien Med Wochenschr
Assunto da revista:
MEDICINA
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Alemanha