Drug Induced Methemoglobinemia  

作　　者：M. Cobas H. Olivera G. Soto T. Fuhrman 

机构地区：[1]Department of Anesthesia and Perioperative Medicine, University of Miami Miller School of Medicine, University of Miami Hospi- tal, Miami, USA

出　　处：《Open Journal of Anesthesiology》2013年第3期140-142,共3页麻醉学期刊（英文）

摘　　要：The normal presentation of a patient with a drug induced methemoglobinemia is a low pulse oximetry (SpO2) reading, usually in the mid 80% range, while having a very high PaO2 on an arterial blood gas (ABG)1. We present a case where the initial ABG showed a very high PaO2 and a metabolic alkalosis while the SpO2 fluctuated (85%- 99%). Those findings combined with hemodynamic instability complicated the diagnosis and delayed optimal care.The normal presentation of a patient with a drug induced methemoglobinemia is a low pulse oximetry (SpO2) reading, usually in the mid 80% range, while having a very high PaO2 on an arterial blood gas (ABG)1. We present a case where the initial ABG showed a very high PaO2 and a metabolic alkalosis while the SpO2 fluctuated (85%- 99%). Those findings combined with hemodynamic instability complicated the diagnosis and delayed optimal care.

关 键 词：GENERAL ANESTHESIOLOGY CLINICAL ANESTHESIOLOGY ANESTHETIC MONITORING 

分 类 号：R5[医药卫生—内科学]