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Thorax 1989;44:234-235 doi:10.1136/thx.44.3.234
  • Research Article

Severe methaemoglobinaemia after flexible fibreoptic bronchoscopy.

  1. R L Kotler,
  2. J Hansen-Flaschen,
  3. M P Casey
  1. Cardiovascular-Pulmonary Division, Hospital of the University of Pennsylvania, Philadelphia.

      Abstract

      A patient with the acquired immunodeficiency syndrome (AIDS) developed severe cyanosis after bronchoscopy (oxygen saturation 34%) from methaemoglobinaemia. This was thought to be due to enhanced absorption of local anaesthetic from the nasopharynx or trachea as a result of candidiasis. The patient responded dramatically to intravenous methylene blue.

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