Postoperative methemoglobinemia with associated G-6-P-D deficiency in infant cardiac surgery - Enigmas in diagnosis and management

Paediatric Anaesthesia

Volumn 15, Issue 4, 2005, Pages 334-337

  Maddali, Madan Mohan ^a   Fahr, Jutta ^a  

^a ROYAL HOSPITAL   (Oman)

Author keywords

Cardiopulmonary bypass; Cyanosis; Glucose 6 phosphate dehydrogenase deficiency; Methemoglobinemia; Methylene blue; Nitroglycerine

Indexed keywords

ACETYLCYSTEINE; ASCORBIC ACID; CYTOCHROME P450 INHIBITOR; DOBUTAMINE; FENTANYL; GLYCERYL TRINITRATE; METHYLENE BLUE; MIDAZOLAM;

ARTICLE; CASE REPORT; CONGENITAL HEART MALFORMATION; DISEASE ASSOCIATION; DISEASE COURSE; DOPPLER ECHOCARDIOGRAPHY; GLUCOSE 6 PHOSPHATE DEHYDROGENASE DEFICIENCY; HEART CATHETERIZATION; HEART SURGERY; HUMAN; MALE; METHEMOGLOBINEMIA; NEWBORN; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; PULMONARY HYPERTENSION; TREATMENT OUTCOME;

CARDIAC SURGICAL PROCEDURES; DUCTUS ARTERIOSUS, PATENT; ECHOCARDIOGRAPHY, DOPPLER; GLUCOSEPHOSPHATE DEHYDROGENASE DEFICIENCY; HEART CATHETERIZATION; HEART DEFECTS, CONGENITAL; HEMODYNAMIC PROCESSES; HUMANS; INFANT, NEWBORN; MALE; METHEMOGLOBINEMIA; OXYGEN;

EID: 16244402311     PISSN: 11555645     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1460-9592.2004.01420.x     Document Type: Article

References (6)

1. Wright RO, Lewander WJ, Woolf AD. Methemoglobinemia: etiology, pharmacology, and clinical management. Ann Emerg Med 1999; 34: 646-656.
2. Barker SJ, Tremper KK, Hyatt J. Effects of methemoglobinemia on pulse oximetry and mixed venous oximetry. Anesthesiology 1989; 70: 112-117.
3. Watcha MF, Connor MT, Hing AV. Pulse oximetry in methemoglobinemia. Am J Dis Child 1989; 143: 845-847.
4. Dotsch J, Demirakca S, Hamm R et al. Extracorporeal circulation increases nitric oxide-induced methemoglobinemia in vivo and in vitro. Crit Care Med 1997; 25: 1153-1158.
5. Bojar RM, Rastegar H, Payne DD et al. Methemoglobinemia from intravenous nitroglycerin: a word of caution. Ann Thorac Surg 1987; 43: 332-334.
6. Kaplan KJ, Taber M, Teagarden JR et al. Association of methemoglobinemia and intravenous nitroglycerin administration. Am J Cardiol 1985; 55: 181-183.