The role of preoperative evaluation for congenital methemoglobinemia Kali{dotless}tsal methemoglobinemide preoperatif anestezi deǧerlendirilmesinin rolü

KUŞ A., Berk D., Hoşten T., Gürkan Y., Solak M., Toker K.

Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi, cilt.42, sa.4, ss.223-226, 2014 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 42 Sayı: 4
  • Basım Tarihi: 2014
  • Doi Numarası: 10.5152/tjar.2014.82335
  • Dergi Adı: Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.223-226
  • Anahtar Kelimeler: Methemoglobinemia, congenital, anaesthesia, preoperative care
  • Kocaeli Üniversitesi Adresli: Evet

Özet

Preoperative care includes a clinical examination before invasive or non-invasive interventions for anaesthesia/analgesia and is the responsibility of the anaesthesiologists. Methemoglobinemia should be considered, as well as cardiac, pulmonary, and peripheral circulatory disorders in patients with central cyanosis and low oxygen saturation despite treatment with sufficient oxygen during anaesthesia. Methemoglobinemia is a serious clinical condition, associated with increased blood methemoglobin levels characterized by clinical signs, such as cyanosis and hypoxia due to lack of oxygen-carrying capacity. Here, we present our anaesthesia management in a patient with unnoticed congenital methemoglobinemia during preoperative evaluation, in whom clinical signs of methemoglobinemia developed after local anaesthesia administration before the surgery. © 2014 by Turkish Anaesthesiology and Intensive Care Society.