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The normal presentation of a patientwith a drug induced methemoglobinemia is a low pulse oximetry SpO2reading, usually in the mid 80% range, while having a very high PaO2 on an arterial blood gas ABG1. We present a case where the initial ABG showeda very high PaO2 and a metabolic alkalosis while the SpO2 fluctuated 85%- 99%. Those findings combined withhemodynamic instability complicated the diagnosis and delayed optimal care.

KEYWORDS

General Anesthesiology Clinical Anesthesiology Anesthetic Monitoring

Cite this paper

M. Cobas, H. Olivera, G. Soto and T. Fuhrman -Drug Induced Methemoglobinemia,- Open Journal of Anesthesiology, Vol. 3 No. 3, 2013, pp. 140-142. doi: 10.4236-ojanes.2013.33032.





Author: M. Cobas, H. Olivera, G. Soto, T. Fuhrman

Source: http://www.scirp.org/



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