Prilocaine induced methemoglobinemia after tube thoracostomy: case report

Temel Bulgular & Veri:Bu yazıda, ampiyem nedeniyle lokal anestezi altında göğüs tüpü takılması sonrası siyanoz gelişen ve toksik methemoglobinemi tanısı konulan 10 yaşında bir erkek çocuk sunuldu.

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Sonuç & Katkı:Methemoglobin seviyesi %18.7 olarak ölçülen hasta askorbik asit ile başarıyla tedavi edildi.

🔬Tür:Deneysel Tarla Denemesi

📍Kapsam:Genişletilmiş Akademik Örneklem

⚙️Değişkenler:Alan Parametreleri

Özet

Çocuklarda toraks ampiyemi tedavisi genellikle lokal anestezi altında tüp torakostomisi ile gerçekleştirilir. En sık tercih edilen lokal anestetik ajan olan prilokain, terapötik dozlarda dahi akkiz toksik methemoglobineminin en yaygın nedenidir. Bu yazıda, ampiyem nedeniyle lokal anestezi altında göğüs tüpü takılması sonrası siyanoz gelişen ve toksik methemoglobinemi tanısı konulan 10 yaşında bir erkek çocuk sunuldu. Methemoglobin seviyesi %18.7 olarak ölçülen hasta askorbik asit ile başarıyla tedavi edildi.

Abstract

Treatment of empyema thoracis in children is generally performed via tube thoracostomy under local anesthesia. Prilocaine, the most preferred local anesthetic agent, is also the most common cause of acquired toxic methemoglobinemia even in therapeutic doses. In this article, we present a 10-year-old boy who developed cyanosis after chest tube insertion under local anesthesia due to empyema and diagnosed as toxic methemoglobinemia. Methemoglobin level was measured as 18.7% and patient was successfully treated with ascorbic acid.

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Bu Makaleye Atıf Yap

GÜNAL, N., SOYER, T., ÇAKMAK, M., BÜYÜKKOÇAK, Ü., ÖZPOLAT, B. (2022). Prilocaine induced methemoglobinemia after tube thoracostomy: case report. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 23 - Sayı: 3, 574–577. https://ajindex.com/articles/424181

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Kaynakça (12)

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