Methemoglobinemia: A Life-threatening Complication of Topical Pharyngeal Anesthetics.

lidocaine methemoglobinemia topical anesthesia

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
30 Apr 2020
Historique:
entrez: 5 6 2020
pubmed: 5 6 2020
medline: 5 6 2020
Statut: epublish

Résumé

Drug-induced methemoglobinemia can be caused due to topical anesthetics, dapsone, nitrates (e.g., nitroglycerin), and metoclopramide. Cyanosis in the setting of topical anesthetic use, along with the arterial blood gas results indicating hypoxemia, points towards the diagnosis of methemoglobinemia. We highlight the potential complication with the use of topical pharyngeal benzocaine through this case presentation.

Identifiants

pubmed: 32494515
doi: 10.7759/cureus.7900
pmc: PMC7263402
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e7900

Informations de copyright

Copyright © 2020, Riaz et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Am J Med. 2001 Aug;111(2):150-3
pubmed: 11498069
Ann Emerg Med. 1987 Mar;16(3):323-5
pubmed: 3813168
Anesth Analg. 2009 Mar;108(3):837-45
pubmed: 19224791
Int J Cardiovasc Imaging. 2015 Apr;31(4):727-31
pubmed: 25663608
Ann Emerg Med. 1999 Nov;34(5):646-56
pubmed: 10533013
Local Reg Anesth. 2011;4:25-8
pubmed: 22915889

Auteurs

Sana Riaz (S)

Internal Medicine, State University of New York (SUNY) Upstate Medical University, Syracuse, USA.

Pujitha Kudaravalli (P)

Internal Medicine, State University of New York (SUNY) Upstate Medical University, Syracuse, USA.

Sheikh A Saleem (SA)

Gastroenterology, State University of New York (SUNY) Upstate Medical University, Syracuse, USA.

David Heisig (D)

Gastroenterology, State University of New York (SUNY) Upstate Medical University, Syracuse, USA.

Classifications MeSH