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Korean Journal of Anesthesiology 2002;43(3):389-391.
DOI: https://doi.org/10.4097/kjae.2002.43.3.389   
Extreme Hypotension Followed by an Intravenous Indigo Carmine Injection during a Radical Prostatectomy: A case report.
Min Ho Choe, Dong Chan Kim, Young Jin Han, Huhn Choe
Department of Anesthesiology and Pain Medicine, Chonbuk National University, Medical School, Jeonju, Korea. yjhan@moak.chonbuk.ac.kr
Abstract
Indigo carmine (sodium indigotin disulfonate) is a blue dye that is generally regarded as a safe and inactive material. It is widely used in urology and gynecology to identify the ureteral orifice. Occasionally it causes high blood pressure, bradycardia, nausea and vomiting as side effects. Though rare, it can cause a skin rash, pruritus, and bronchospasm as well. However, it is known that hypotension is extremely uncommon. We report an experience of extreme hypotension that happened immediately after an intravenous indigo carmine injection during a radical prostatectomy under general anesthesia.
Key Words: General anesthesia; hypotension; indigo carmine


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