Journal article
The need for caution with topical anesthesia During endoscopic procedures, as liberal use may result in methemoglobinemia
Journal of clinical gastroenterology, Vol.38(3), pp.225-229
2004
DOI: 10.1097/00004836-200403000-00006
PMID: 15128067
Abstract
During upper gastrointestinal endoscopy, topical oropharyngeal anesthesia with lidocaine and/or benzocaine is used routinely by many endodscopists. Although such a practice is usually safe, there have been a number of reports of methemoglobinemia induced by topical anesthesia. Early treatment is extremely important as the development of methemoglobinemia is potentially fatal. Methemoglobinemia should be considered when oxygen desaturation occurs without another explanation. In this case series, we report 4 cases of methemoglobinemia that followed the liberal application of Cetacaine for ERCP. All patients recovered after appropriate treatment but these cases serve to highlight the potential problem, the importance of early recognition and treatment, and the most appropriate treatment options.
Details
- Title: Subtitle
- The need for caution with topical anesthesia During endoscopic procedures, as liberal use may result in methemoglobinemia
- Creators
- Michael F BYRNE - Division of Gastroenterology, Duke University Medical Center, Durham, NC, United StatesRobert M MITCHELL - Division of Gastroenterology, Duke University Medical Center, Durham, NC, United StatesHenning GERKE - Division of Gastroenterology, Duke University Medical Center, Durham, NC, United StatesSandra GOLLER - Division of Gastroenterology, Duke University Medical Center, Durham, NC, United StatesHelen L STIFFLER - Division of Gastroenterology, Duke University Medical Center, Durham, NC, United StatesMichael GOLIOTO - Division of Gastroenterology, Duke University Medical Center, Durham, NC, United StatesMalcolm S BRANCH - Division of Gastroenterology, Duke University Medical Center, Durham, NC, United StatesPaul S JOWELL - Division of Gastroenterology, Duke University Medical Center, Durham, NC, United StatesJohn BAILLIE - Division of Gastroenterology, Duke University Medical Center, Durham, NC, United States
- Resource Type
- Journal article
- Publication Details
- Journal of clinical gastroenterology, Vol.38(3), pp.225-229
- Publisher
- Lippincott Williams & Wilkins
- DOI
- 10.1097/00004836-200403000-00006
- PMID
- 15128067
- ISSN
- 0192-0790
- eISSN
- 1539-2031
- Language
- English
- Date published
- 2004
- Academic Unit
- Gastroenterology and Hepatology; Internal Medicine
- Record Identifier
- 9984094612002771
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