Methemoglobinemia should be suspected when oxygen saturation apparently decreases after prilocaine infiltration during intravenous sedation

During intravenous sedation, a decrease in SpO2 is usually the result of respiratory failure. However, we experienced a case with SpO2 decrease that was caused by methemoglobinemia in prilocaine infiltration anesthesia during sedation. This indicates that methemoglobinemia should be considered if lo...

Descripción completa

Detalles Bibliográficos
Autores principales: Wakita, Ryo, Fukayama, Haruhisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2018
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5986061/
https://www.ncbi.nlm.nih.gov/pubmed/29881568
http://dx.doi.org/10.1002/ccr3.1522
_version_ 1783328869049171968
author Wakita, Ryo
Fukayama, Haruhisa
author_facet Wakita, Ryo
Fukayama, Haruhisa
author_sort Wakita, Ryo
collection PubMed
description During intravenous sedation, a decrease in SpO2 is usually the result of respiratory failure. However, we experienced a case with SpO2 decrease that was caused by methemoglobinemia in prilocaine infiltration anesthesia during sedation. This indicates that methemoglobinemia should be considered if low SpO2 is sustained unrelated to sedation level.
format Online
Article
Text
id pubmed-5986061
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-59860612018-06-07 Methemoglobinemia should be suspected when oxygen saturation apparently decreases after prilocaine infiltration during intravenous sedation Wakita, Ryo Fukayama, Haruhisa Clin Case Rep Case Reports During intravenous sedation, a decrease in SpO2 is usually the result of respiratory failure. However, we experienced a case with SpO2 decrease that was caused by methemoglobinemia in prilocaine infiltration anesthesia during sedation. This indicates that methemoglobinemia should be considered if low SpO2 is sustained unrelated to sedation level. John Wiley and Sons Inc. 2018-04-17 /pmc/articles/PMC5986061/ /pubmed/29881568 http://dx.doi.org/10.1002/ccr3.1522 Text en © 2018 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Reports
Wakita, Ryo
Fukayama, Haruhisa
Methemoglobinemia should be suspected when oxygen saturation apparently decreases after prilocaine infiltration during intravenous sedation
title Methemoglobinemia should be suspected when oxygen saturation apparently decreases after prilocaine infiltration during intravenous sedation
title_full Methemoglobinemia should be suspected when oxygen saturation apparently decreases after prilocaine infiltration during intravenous sedation
title_fullStr Methemoglobinemia should be suspected when oxygen saturation apparently decreases after prilocaine infiltration during intravenous sedation
title_full_unstemmed Methemoglobinemia should be suspected when oxygen saturation apparently decreases after prilocaine infiltration during intravenous sedation
title_short Methemoglobinemia should be suspected when oxygen saturation apparently decreases after prilocaine infiltration during intravenous sedation
title_sort methemoglobinemia should be suspected when oxygen saturation apparently decreases after prilocaine infiltration during intravenous sedation
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5986061/
https://www.ncbi.nlm.nih.gov/pubmed/29881568
http://dx.doi.org/10.1002/ccr3.1522
work_keys_str_mv AT wakitaryo methemoglobinemiashouldbesuspectedwhenoxygensaturationapparentlydecreasesafterprilocaineinfiltrationduringintravenoussedation
AT fukayamaharuhisa methemoglobinemiashouldbesuspectedwhenoxygensaturationapparentlydecreasesafterprilocaineinfiltrationduringintravenoussedation

Ejemplares similares