Dose-response and postoperative eonfusion following methylene blue infusion during parathyroideetomy

摘要

To the Editor: A 115-kg 65-yr-old female presented with symptomatic primary hyperparathyroidism {plasma calcium 2.9 mmol centre dot L~(-1), PTH 10.5 pmol centre dot L~(-1)). She had type II diabetes, hypertension, hyperthyroidism and depression and was taking mixtard insulin, metformin, ramipril, atenolol, aspirin, simvastatin, paroxetine, and carbima-zole. Sestamibi and magnetic resonance imaging scans demonstrated a retrosternal parathyroid adenoma. Surgery was planned for a morning operating list.