Anesthetic experience: congenital methemoglobinemia due to hemoglobin M
리현수, 박영제, 전영훈,
소속 상세정보
리현수 ( Ri Hyun-Su ) - Kyungpook National University Hospital Department of Anesthesiology and Pain Medicine
박영제 ( Park Young-Je ) - Kyungpook National University Hospital Department of Anesthesiology and Pain Medicine
전영훈 ( Jeon Young-Hoon ) - Kyungpook National University Hospital Department of Anesthesiology and Pain Medicine
Abstract
Methemoglobinemia is rare. It is classified into two types: congenital methemoglobinemia and acquired methemoglobinemia. Methemoglobin is incapable of binding oxygen, leading to complications such as cyanosis, dyspnea, headache, and heart failure. In the present case, a 35-year-old man with congenital methemoglobinemia underwent general anesthesia for thyroidectomy. The patient was diagnosed with hemoglobin M at 7 years of age. Ventilation was performed with FiO2 1.0. Arterial blood gas analysis showed that the pH was 7.4, PaO2 439 mmHg, PaCO2 40.5 mmHg, oxyhemoglobin level of 83.2%, and methemoglobin level of 15.5%. The patient had a stable course, although cyanosis was observed during surgery.
키워드
General Anesthesia; Hemoglobin M; Methemoglobin; Methemoglobinemia
원문 및 링크아웃 정보
등재저널 정보