RT Book, Section
A1 Pinyavat, Teeda
A2 Houck, Philipp J.
A2 Haché, Manon
A2 Sun, Lena S.
SR Print(0)
ID 1105553659
T1 METHEMOGLOBINEMIA
T2 Handbook of Pediatric Anesthesia
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176935-8
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1105553659
RD 2024/04/20
AB A  4-year-old  undergoes  an  uneventful  esophagogastroduodenoscopy  (EGD)  but  is  noted  to  be  cyanotic  in  the  postanesthesia  care  unit  1  hour  later.  He  appears  agitated  and  tachypneic,  and  has  perioral  cyanosis.  Despite  being  placed  on  100%  oxygen  by  face  mask,  his  SaO2  is  86%.  His  lungs  are  clear,  and  his  stat  chest  x-ray  is  normal.  An  arterial  blood  sample  is  chocolate-colored.  PaO2  and  calculated  oxygen  saturation  are  normal.  Cetacaine  spray  (14%  benzocaine,  2%  butamben,  2%  tetracaine)  was  used  for  topicalization.