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  • Title: [Direct potentiometric determination of the level of cyanide in plasma following an infusion of sodium nitroprusside].
    Author: Steinecke H, Heesen U.
    Journal: Anaesthesiol Reanim; 1989; 14(6):333-7. PubMed ID: 2604827.
    Abstract:
    Plasma cyanide concentrations were measured potentiometrically in 12 patients before and after infusion of sodium nitroprusside (SNP). A close correlation was found between the increase in plasma cyanide level and the total dose of SNP and between the increase and the mean rate of SNP infusion. After a total dose of 3.1 mumol SNP/kg (0.924 mg/kg) the maximum plasma cyanide concentration amounted to 2.2 mumol/1 (57 micrograms/l) which is lower than the recommended upper limit of 3 mumol/l plasma (78 micrograms/l); but indicates the importance of the recommended maximum dose of 5 mumol SNP/kg (1.5 mg/kg) and the control of plasma cyanide levels under SNP treatment. The direct potentiometric evaluation of the plasma cyanide level using the indicator method seems to be useful for such a control because it is more sensitive and faster than spectroscopic methods. The time needed for performing one measurement is about 35 minutes.
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