Methemoglobinemia: An unusual cause of postoperative cyanosis

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Methemoglobinemia: an unusual cause of postoperative cyanosis.

Methemoglobinemia, although rare, must be considered in surgical patients presenting with acute respiratory distress and cyanosis. We report two cases of methemoglobinemia in patients undergoing aortic reconstruction. The first patient developed methemoglobinemia while on a nitroglycerin infusion, and the second after receiving benzocaine spray before intubation. Both patients were treated with...

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Methemoglobin is a type of hemoglobin in which the ferrous ion has been oxidized to the ferric state. It is therefore incapable of combining with or transporting the oxygen molecule, which is replaced by a hydroxyl radical. Methemoglobinemia can be acquired or inherited. Most cases are acquired and are primarily due to exposure to certain drugs and chemicals, such as nitrates, nitrites, quinone...

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ژورنال

عنوان ژورنال: Journal of Vascular Surgery

سال: 2004

ISSN: 0741-5214

DOI: 10.1016/j.jvs.2003.08.023