Severe Cyanosis: A Life-Threatening Complication with Methemoglobinemia in a Child in a Cosmetic Clinic

Chia-Yunn Chuang ； Ting-An Yen ； Wei-Chieh Tseng ； Hsin-Chung Huang ； En-Ting Wu ； Frank Lu ； Ching-Chia Wang

《中華民國兒童胸腔醫學會雜誌》 9卷1期 (2013/03) Pp. 27-30

https://doi.org/10.6322/JPRD.201303_9(1).0005

並列摘要

Topical anesthetic drugs are widely used clinically during hospital and outpatient procedures and are easily available to the public in a variety of over-the-counter preparations. These anesthetic are especially popular and commonly used in many local dermatological clinics. Yet, topical anesthesia poses certain risks with pediatric patients, especially when a large area is covered. Furthermore, methemoglobinemia is known to occur in elderly patients with preexisting comorbidities who undergo medical procedures with local-anesthetic application, such as nasopharyngeal or oropharyngeal intubation, panendoscopy, or transesophageal echocardiography. This study documents an adolescent female patient who experienced methemoglobinemia with evident cyanosis after topical lidocaine and prilocaine cream were used for laser hair removal surgery.

並列關鍵字

methemoglobinemia ； cyanosis ； topical anesthetic agents