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Guedes AG, Dileepan M, Jude JA, Deshpande DA, Walseth TF, Kannan MS

However, exchange transfusion rather than methylene or toluidine blue administration has been suggested because conversion of cyanmethaemoglobin back to normal haemoglobin could theoretically release bound cyanide and worsen the poisoning (Rumack, 1987)