False Low Pulse Oximetry Reading following a Peritumoral Injection of 1% Isosulfan Blue Dye in a Patient with Breast Cancer.
10.4097/kjae.2003.44.1.123
- Author:
Hye Young JO
1
;
Sang Gyi LEE
;
Ji Seon SON
;
Sung Hoo JUNG
Author Information
1. Department of Anesthesiolgy, Chonbuk National University Medical School, Jeonju, Korea. LEESK@MOAK.CHONBUK.ac.kr
- Publication Type:Case Report
- Keywords:
Hemoglobin desaturation;
pulse oximetry;
vital dyes
- MeSH:
Administration, Intravenous;
Anoxia;
Breast Neoplasms*;
Breast*;
Coloring Agents;
Humans;
Lymph Nodes;
Oximetry*;
Oxygen
- From:Korean Journal of Anesthesiology
2003;44(1):123-127
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pulse oximetry is a noninvasive, continuous monitoring of arterial oxygenation and provides rapid detection of perioperative hypoxemia. However, many factors give a factitious reading of hemoglobin desaturation, some of these are vital dyes. Many authors report intravenous administration of vital dyes gave a transient factitious reading of hemoglobin desaturation, but few report peritumoral injection of vital dyes giving a spurious reading of hemoglobin desaturation. 1% Isosulfan blue dye has often been used for evaluation of the sentinel lymph node in breast cancer surgery. We report a case of spurious reading of a hemoglobin desaturation on a pulse oximetry following a peritumoral injection of 1% isosulfan blue dye in a patient with breast cancer.
