A PACU crisis: a case study on the development and management of methemoglobinemia.
The development of methemoglobinemia requires rapid recognition, confirmation, and treatment. This case study describes the development, diagnosis, and management of a 63-year-old male scheduled for a laparoscopic cholecystectomy with an intraoperative cholangiogram who developed methemoglobinemia after benzocaine was given for intubation.
Gray
Terri A
TA
Providence Hospital, Southfield, MI 48037-2043, USA. tgray@providence-hospital.org
Hawkins
Susan
S
D000779:Anesthetics, Local / Q000009:adverse effects*; D001566:Benzocaine / Q000009:adverse effects*; D004791:Enzyme Inhibitors / Q000627:therapeutic use; D006801:Humans; D007431:Intraoperative Complications / Q000139:chemically induced*; D008297:Male; D008708:Methemoglobinemia / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy; D008751:Methylene Blue / Q000627:therapeutic use; D008875:Middle Aged
D000779:Anesthetics, Local; D004791:Enzyme Inhibitors; D008751:Methylene Blue; D001566:Benzocaine