Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-10T15:20:29.098Z Has data issue: false hasContentIssue false
  • English
  • Français

BIPP induced methaemoglobinaemia

Published online by Cambridge University Press:  29 June 2007

A. Nigam ,
J. Ruddy  and
P. E. Robin
A. Nigam*
Affiliation:
Department of Otlaryngology, Dudley Road Hospital, Birmingham.
J. Ruddy
Affiliation:
Department of Otlaryngology, Dudley Road Hospital, Birmingham.
P. E. Robin
Affiliation:
Department of Otlaryngology, Dudley Road Hospital, Birmingham.
*
A. Nigam F.R.C.S., 6 Rollason Road, Erdington, Birmingham B24 9BJ.
Get access Rights & Permissions [Opens in a new window]

Abstract

Bismuth subnitrate, one of the constituents of BIPP is known to cause methaemoglobinaemia. Ten patients had blood estimations for methaemoglobin levels before and after nasal packing with BIPP impregnated gauze. Only one patient exhibited abnormal levels of methaemoglobin and this was most probably the result of the large quantity of BIPP used. It is unlikely that significant methaemoglobinaemia occurs during the routine use of BIPP in the nose.

Keywords

BIPPmethaemoglobinaemia
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 2 , February 1991 , pp. 78 - 79
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bunn, F. H. (1987) In Harrison's Principles of Internal Medicine 11th edition, McGraw Hill Book Company Ltd.; New York p 1524–1525.Google Scholar
Chambers, H., Goldsmith, J. N. (1917) The bacteriological and chemical action of bismuth iodoform paraffin paste. Lancet, 1: 333–335.CrossRefGoogle Scholar
Frayling, I. M., Addison, G. M., Chattergee, K., Meakin, G. (1990) Methaemoglobinaemia in children treated with prilocainlignocaine cream. British Medical Journal, 301: 153–154.CrossRefGoogle ScholarPubMed
Kearns, G. L., Fiser, D. H. (1988) Metoclopramide-induced methaemoglobinaemia. Paediatrics, 82: 364–366.CrossRefGoogle Scholar
Marcus, H., Joffe, J. R. (1949) Nitrate methaemoglobinaemia. New England Journal of Medicine, 240: 599–601.CrossRefGoogle Scholar
Nigam, A., Allwood, M. C. (1990) BIPP- How does it work? Clinical Otolaryngology, 15: 173–175.CrossRefGoogle ScholarPubMed
Wade, A. (1979) Martindale–The Extra Pharmacopoeia 27th edition, Pharmaceutical Press: London, p. 892–893.Google Scholar