Post-frenotomy Methemoglobinemia Associated with Mepivacaine Use in a 3 Day Old

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Post-frenotomy Methemoglobinemia Associated with Mepivacaine Use in a 3 Day Old

Although neonatal frenotomy is not a new procedure, there seems to be an increased incidence over the past decade. Even with some controversy over the utility of the procedure and its benefits to the breast-feeding child, more neonates are being referred for ankyloglossia related frenulum repairs as breast-feeding has gained popularity. The frenulum is poorly innervated and does not necessarily...

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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...

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ژورنال

عنوان ژورنال: Emergency Medicine: Open Access

سال: 2013

ISSN: 2165-7548

DOI: 10.4172/2165-7548.1000131