Methemoglobinemia: an unusual cause of postoperative cyanosis

Carryn M Anderson; Kenneth J Woodside; Todd A Spencer; Glenn C Hunter

doi:10.1016/j.jvs.2003.08.023

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Methemoglobinemia: an unusual cause of postoperative cyanosis

Journal article

Open access

Peer reviewed

Methemoglobinemia: an unusual cause of postoperative cyanosis

Carryn M Anderson, Kenneth J Woodside, Todd A Spencer and Glenn C Hunter

Journal of vascular surgery, Vol.39(3), pp.686-690

03/2004

DOI: 10.1016/j.jvs.2003.08.023

PMID: 14981472

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Abstract

Methemoglobinemia, although rare, must be considered in surgical patients presenting with acute respiratory distress and cyanosis. We report two cases of methemoglobinemia in patients undergoing aortic reconstruction. The first patient developed methemoglobinemia while on a nitroglycerin infusion, and the second after receiving benzocaine spray before intubation. Both patients were treated with methylene blue and ascorbic acid, with resolution of their hypoxia and cyanosis. The pathophysiology, etiology, diagnosis, and treatment of methemoglobinemia are reviewed.

Humans

Middle Aged

Methemoglobinemia - diagnosis

Methemoglobinemia - physiopathology

Cyanosis - therapy

Treatment Outcome

Methemoglobinemia - etiology

Enzyme Inhibitors - therapeutic use

Antioxidants - therapeutic use

Ascorbic Acid - therapeutic use

Methylene Blue - therapeutic use

Female

Aged

Methemoglobinemia - therapy

Cyanosis - etiology

Postoperative Complications

Blood Vessel Prosthesis Implantation

Details

Title: Subtitle: Methemoglobinemia: an unusual cause of postoperative cyanosis
Creators: Carryn M Anderson - Division of Vascular Surgery, Department of Surgery, University of Texas Medical Branch, Boulevard, Galveston, TX 77555-0544, USA. gchunter@utmb.edu
Kenneth J Woodside
Todd A Spencer
Glenn C Hunter
Resource Type: Journal article
Publication Details: Journal of vascular surgery, Vol.39(3), pp.686-690
DOI: 10.1016/j.jvs.2003.08.023
PMID: 14981472
NLM abbreviation: J Vasc Surg
ISSN: 0741-5214
eISSN: 1097-6809
Publisher: United States
Language: English
Date published: 03/2004
Academic Unit: Radiation Oncology
Record Identifier: 9984047663802771

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