A case of rapid onset methaemoglobinaemia associated with local anaesthetic use
K Zadeh1, J Bui1, J Lakshay2,3
1Department of Emergency Medicine Eisenhower Medical Center Rancho Mirage CA USA.
Abstract:
Methaemoglobinaemia is a rare but serious condition which can arise due to the administration of local anaesthetic agents. A 36-year-old woman with metastatic oesophageal adenocarcinoma experienced a rapid onset of methaemoglobinaemia following airway topicalisation with lidocaine and benzocaine sprays for bronchoscopy. The patient was treated with supplementary oxygen, non-invasive respiratory support, methylene blue and ascorbic acid. Early diagnosis and timely treatment of methaemoglobinaemia can result in rapid clinical improvement and prevent long-term complications.
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