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

11 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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