The effects of Patent Blue dye on peripheral and cerebral oxyhaemoglobin saturations.
We measured the effect of Patent Blue dye on oxyhaemoglobin saturations after injection into breast tissue: 40 women had anaesthesia for breast surgery maintained with sevoflurane or propofol (20 randomly allocated to each). Saturations were recorded with a digital pulse oximeter, in arterial blood samples and with a cerebral tissue oximeter before dye injection and 10, 20, 30, 40, 50, 60, 75, 90, 105 and 120 min afterwards. Patent Blue did not decrease arterial blood oxyhaemoglobin saturation, but it did reduce mean (SD) digital and cerebral oxyhaemoglobin saturations by 1.1 (1.1) % and 6.8 (7.0) %, p < 0.0001 for both. The falsely reduced oximeter readings persisted for at least 2 h. The mean (SD) intra-operative digital pulse oxyhaemoglobin readings were lower with sevoflurane than propofol, 97.8 (1.2) % and 98.8 (1.0) %, respectively, p < 0.0001.
Department of Anesthesiology, Faculty of Medicine, University of Yamanashi, Chuo, Yamanashi, Japan.
T
T
Ishiyama
M
M
Kotoda
N
N
Asano
K
K
Ikemoto
K
K
Mitsui
H
H
Sato
T
T
Matsukawa
D I
DI
Sessler
D000368:Aged; D018685:Anesthetics, Inhalation / Q000494:pharmacology; D018686:Anesthetics, Intravenous / Q000494:pharmacology; D016477:Artifacts; D001943:Breast Neoplasms / Q000097:blood / Q000601:surgery; D002560:Cerebrovascular Circulation / Q000187:drug effects*; D004396:Coloring Agents / Q000494:pharmacology*; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008738:Methyl Ethers / Q000494:pharmacology; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods; D010092:Oximetry / Q000379:methods; D010108:Oxyhemoglobins / Q000378:metabolism*; D015742:Propofol / Q000494:pharmacology; D012394:Rosaniline Dyes / Q000494:pharmacology*; D000077149:Sevoflurane
D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D004396:Coloring Agents; D008738:Methyl Ethers; D010108:Oxyhemoglobins; D012394:Rosaniline Dyes; D000077149:Sevoflurane; C008769:sulfan blue; D015742:Propofol