| Autor: |
Onder Kilicaslan, Aybars Ozkan, Kenan Kocabay, Gulsen Yalcin |
| Jazyk: |
English<br />Turkish |
| Rok vydání: |
2018 |
| Předmět: |
|
| Zdroj: |
Family Practice and Palliative Care, Vol 3, Iss 1, Pp 69-71 (2018) |
| Druh dokumentu: |
article |
| ISSN: |
2459-1505 |
| DOI: |
10.22391/fppc.336135 |
| Popis: |
Introduction: Circumcision is a surgical procedureperformed by many societies for religious, medical and cultural purposes. Oneof the agents used during this procedure is prilocaine, a commonly used localanesthetic. In the literature, cases of methemoglobinemia which can bedeveloped with the application of prilocaine in normal dose have been reported.Oxidation of hemoglobin with various oxidative stresses is calledmethemoglobinemia when the divalent iron in its content is converted into itstrivalent form. This reactionleads to hypoxaemia in the tissueand a clinical picture of cyanosis occurs at varying degrees.Case Report: Two-and-a-half-month-old patient was referred to my hospital by aphysician because of the complaint of bruising after local anesthesia withprilocaine and the measured oxygen saturation was 79%. Physical examinationrevealed cyanosis in the peroral region, hands and feet. It was decided thatmethylene blue should be administered considering the fact that the patient wasgiven prilocaine as a local anesthetic, due to the inability to find anunderlying respiratory and cardiac cause, and because of the high value of methemoglobinin blood gas. Methylene blue 2 mg/kg was given orally. About an hour later,cyanosis disappeared. The control methhemoglobin level was found to be 2.7%.Conclusion: Methemoglobinemia should be considered in thedifferential diagnosis of cyanosis after local anesthetic application and localanesthetics with less side effects should be preferred in early infancy. Inthis case report, it was aimed to discuss the differential diagnosis andtreatment methods of methemoglobinemia after local anesthesia with prilocaine. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
