PRILOCAINE-INDUCED METHEMOGLOBINEMIA EVIDENCED BY PULSE OXIMETRY

被引：8

作者：

BARDOCZKY, GI

WATHIEU, M

DHOLLANDER, A

机构：

[1] Department of Anesthesia, Erasmus Hospital, Brussels

来源：

ACTA ANAESTHESIOLOGICA SCANDINAVICA | 1990年 / 34卷 / 02期

关键词：

Anesthesia; blood; –; methemoglobinemia; monitoring – pulse oximetry; regional; prilocaine; complications;

D O I：

10.1111/j.1399-6576.1990.tb03062.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Methemoglobinemia was suspected in a healthy 19‐year‐old woman, when the pulse oximeter reading (Spo2) was 88% after a plexus brachialis block with 550 mg (35 ml, 1.5%) prilocaine. The patient was receiving 50% oxygen, and the Pao2 was 48.6 kPa (365 mmHg). After start of methylene blue treatment, with a total dose of 1 mg/kg, the Spo2 showed a gradual increase. This case report emphasises the potential advantage of arterial oxygen saturation monitoring with a pulse oximeter, but also the importance of the correct interpretation of the Spo2 reading. © 1990 Acta Anaesthesiologica Scandinavica Fonden

引用

页码：162 / 164

页数：3

共 15 条

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