Methemoglobinemia after Local Anesthesia with Prilocaine: A Case Report

Methemoglobinemia after local anesthesia with prilocaine: a case report.

Address for Correspondence: Halil Doğan, Department of Emergency, Bakırkoy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey E-mail: [email protected] ©Copyright 2016 by Emergency Physicians Association of Turkey Available online at www.jemcr.org Introduction For erythrocytes, which contain hemoglobin, to carry oxygen to tissues, the iron content of hemoglobin should be in th...

A 12-Day-Old Boy with Methemoglobinemia After Circumcision with Local Anesthesia (Lidocaine/Prilocaine)

A 12-day-old boy presented with duskiness 4 h after circumcision with local anesthesia: infiltration with lidocaine (6 mL 1 %) and topical EMLA cream (2.5 % lidocaine/2.5 % prilocaine). He had no respiratory distress, but a strikingly dark skin. A blood sample showed dark, chocolate brown blood with a raised methemoglobin of 49.8 % (normal <1.5 %) and a lactate of 10 mmol/L. A diagnosis of meth...

A Case Report of Prilocaine-Induced Methemoglobinemia after Liposuction Procedure

Prilocaine-induced methemoglobinemia is a rarely seen condition. In this paper, a case is presented with methemoglobinemia developed secondary to prilocaine use in a liposuction procedure, and the importance of this rarely seen condition is emphasized. A 20-year-old female patient presented with complaints of prostration, lassitude, shivering, shortness of breath, and cyanosis. It was learned t...

Prilocaine-induced Methemoglobinemia.

Methemoglobinemia presenting in a circumcised baby following application of prilocaine: a case report

INTRODUCTION Local anesthesia with prilocaine has become a routine part of ambulatory circumcision procedures. Methemoglobinemia is a rare but potentially lethal complication of local anesthetics. CASE PRESENTATION We report the case of a 40-day-old Turkish boy who presented with cyanosis after receiving local anesthesia with prilocaine. His methemoglobin level revealed severe methemoglobinem...