Anesthetic management of a patient with congenital methemoglobinemia

Chiao Y. Lin, Jenn Ming Yang, Chiun Ting Chen, Yung W. Hsu, Chun J. Huang, Chien Chuan Chen, Hsin Jung Tsai

研究成果: 雜誌貢獻文章同行評審

6 引文 斯高帕斯(Scopus)

摘要

Methemoglobinemia occasionally causes cyanosis particularly in congenital methemoglobinemia. Avoidance of exposure to oxidizing agents is important for patients with congenital methemoglobinemia because of their deficient enzymatic pathways and decreased oxygen-carrying capacity. Here, we present a patient with preoperatively undiagnosed congenital methemoglobinemia who underwent uterine myomectomy under general anesthesia. The patient was a 35-year-old woman who displayed a low pulse oximetry reading of 91% prior to induction of anesthesia. Methemoglobinemia was first suspected intraoperatively because of a mismatch of SpO2 of finger pulse oximetry and SaO2 of arterial blood, and was later confirmed by multiple-wavelength CO-oximetry. The pathophysiology, etiology, clinical manifestations, anesthetic considerations, and treatment options of methemoglobinemia are discussed.

原文英語
頁(從 - 到)143-146
頁數4
期刊Acta Anaesthesiologica Taiwanica
47
發行號3
DOIs
出版狀態已發佈 - 9月 2009
對外發佈

ASJC Scopus subject areas

  • 麻醉與疼痛醫學

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