ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Robert F. Tranbaugh
Kevin Turley
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Glick, P. L.
Right arrow Articles by Turley, K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Glick, P. L.
Right arrow Articles by Turley, K.

Ann Thorac Surg 1985;39:478-480
© 1985 The Society of Thoracic Surgeons

Articles

Iodine Toxicity in a Patient Treated by Continuous Povidone-Iodine Mediastinal Irrigation

Philip L. Glick, M.D., B. Joseph Guglielmo, Pharm.D., Robert F. Tranbaugh, M.D., Kevin Turley, M.D.*

From the Departments of Surgery (Division of Cardio-Thoracic Surgery), and Pharmacy (Division of Clinical Pharmacy), University of California, San Francisco, San Francisco, CA

Accepted for publication June 13, 1984.

* Address reprint requests to Dr. Turley, Department of Surgery, UCSF, M 488, San Francisco, CA 94143

Continuous povidone-iodine irrigation is frequently used to treat mediastinitis after median sternotomy and has been considered safe and effective. We describe a 34-month-old patient with mediastinitis after median sternotomy who was treated with continuous povidone-iodine irrigation and who absorbed toxic quantities of iodine (total serum iodine, 9,375 µg/dl; normal range, 4.5 to 9.0 µg/dl). An unexplained metabolic acidosis developed, along with changes in mental status, and the patient died. This experience and a thorough review of the literature lead us to believe that continuous povidone-iodine irrigation of the mediastinum is contraindicated.




This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. E. Molina, E. C. Nelson, and R. R.A. Smith
Treatment of postoperative sternal dehiscence with mediastinitis: Twenty-four year use of a single method
J. Thorac. Cardiovasc. Surg., October 1, 2006; 132(4): 782 - 787.
[Abstract] [Full Text] [PDF]

Home page
 Interact CardioVasc Thorac SurgHome page
S. Numata, Y. Murayama, M. Makino, and A. Nakamura
Temporary stupor in a patient treated with iodoform gauze for mediastinitis after coronary artery bypass grafting
Interact CardioVasc Thorac Surg, June 1, 2004; 3(2): 309 - 310.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
L. Kovacikova, P. Kunovsky, P. Skrak, V. Hraska, L. Kostalova, and E. Tomeckova
Thyroid hormone metabolism in pediatric cardiac patients treated by continuous povidone-iodine irrigation for deep sternal wound infection
Eur J Cardiothorac Surg, June 1, 2002; 21(6): 1037 - 1041.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. Kirsch, A. Mekontso-Dessap, R. Houel, E. Giroud, M.-L. Hillion, and D. Y. Loisance
Closed drainage using Redon catheters for poststernotomy mediastinitis: results and risk factors for adverse outcome
Ann. Thorac. Surg., May 1, 2001; 71(5): 1580 - 1586.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
N. Nakajima, M. Masuda, M. Ichinose, and M. Ando
A new method for the treatment of graft infection in the thoracic aorta: in situ preservation
Ann. Thorac. Surg., June 1, 1999; 67(6): 1994 - 1996.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Takano, Y. Fukaya, H. Nakano, H. Kuroda, and J. Amano
Combined therapies for composite graft infection after Bentall's procedure
Ann. Thorac. Surg., August 1, 1998; 66(2): 564 - 566.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. E. Molina
Sternal closure and muscle flaps for mediastinitis
Ann. Thorac. Surg., July 1, 1998; 66(1): 297 - 298.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. M. El Oakley and J. E. Wright
Postoperative Mediastinitis: Classification and Management
Ann. Thorac. Surg., March 1, 1996; 61(3): 1030 - 1036.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
J. E. Molina
Primary closure for infected dehiscence of the sternum
Ann. Thorac. Surg., February 1, 1993; 55(2): 459 - 463.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. V. Karwande, D. G. Renlund, S. L. Olsen, W. A. Gay Jr, W. E. Richenbacher, J. A. Hawkins, R. C. Millar, and J. D. Marks
Mediastinitis in heart transplantation
Ann. Thorac. Surg., December 1, 1992; 54(6): 1039 - 1045.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
I. M. Mitchell, N. R. Saunders, R. D. Paton, and R. W. Logan
The blue man phenomenon
Ann. Thorac. Surg., October 1, 1992; 54(4): 814 - 814.
[PDF]

Home page
 Ann. Thorac. Surg.Home page
R. B. Ponn
Continuous Povidone-lodine Irrigation
Ann. Thorac. Surg., February 1, 1987; 43(2): 239 - 239.
[PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1985 by The Society of Thoracic Surgeons.