Postoperative methemoglobinemia with associated G-6-P-D deficiency in infant cardiac surgery--enigmas in diagnosis and management.
Methemoglobinemia could cloud a turbulent postoperative course in infant cardiac surgery by interfering with the diagnosis of various critical conditions. Issues surrounding the treatment with methylene blue in the presence of glucose-6-phosphate dehydrogenase (G-6-P-D) deficiency are highlighted.
Maddali
Madan Mohan
MM
Department of Anaesthesia, Royal Hospital, Muscat, Oman. madan@omantel.net.om
Fahr
Jutta
J
D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures; D004374:Ductus Arteriosus, Patent / Q000601:surgery; D015150:Echocardiography, Doppler; D005955:Glucosephosphate Dehydrogenase Deficiency / Q000175:diagnosis* / Q000628:therapy*; D006330:Heart Defects, Congenital / Q000201:enzymology / Q000601:surgery; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008708:Methemoglobinemia / Q000175:diagnosis* / Q000628:therapy*; D010100:Oxygen / Q000097:blood
D010100:Oxygen