Severe methemoglobinemia after dental anesthesia: a warning about propitocaine-induced methemoglobinemia in neonates
| Autor: | Yukari Doko, Manabu Shimogai, Keisuke Fujii, Akinori Yamazaki, Hiroshi Iranami, Yoshio Hatano |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Anesthesia Dental Methemoglobinemia Methemoglobin Postoperative Complications hemic and lymphatic diseases Anesthesiology Propitocaine Humans Medicine Local anesthesia Anesthetics Local business.industry Infant Newborn medicine.disease Neonatal teeth Prilocaine Dental anesthesia Anesthesiology and Pain Medicine medicine.anatomical_structure Anesthesia Tooth Extraction Female business Complication |
| Zdroj: | Journal of Anesthesia. 24:935-937 |
| ISSN: | 1438-8359 0913-8668 |
| DOI: | 10.1007/s00540-010-1004-4 |
| Popis: | Methemoglobinemia is a fatal complication of local anesthesia. We describe a case report of female neonate who developed severe methemoglobinemia after extraction of neonatal teeth conducted with general anesthesia plus local injection of Citanest-Octapressin(®) (propitocaine of approximately 10 mg/kg). Central cyanosis appeared within an hour after surgery. The percentage of methemoglobin reached up to 43.9%. Not only pediatric dentists but also anesthesiologists generally agree with the idea that local anesthesia provides various benefits in painful procedures in neonates. However, this case may serve as a warning when using Citanest-Octapressin(®), which is still commercially available for neonatal patients. |
| Databáze: | OpenAIRE |
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