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A Rare Case Of Perioperative Methemoglobinemia In A Paediatric Child: A Case Report

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dc.contributor.authorMohamad Azlan Awang
dc.contributor.authorMuhamad Rafiqi Hehsan
dc.date.accessioned2024-06-16T06:36:01Z
dc.date.available2024-06-16T06:36:01Z
dc.date.issued2024
dc.date.submitted2024-1-29
dc.descriptionMalaysian Journal of Medicine and Health Sciences Volume 20 Issue 1 Page (401-403)
dc.description.abstractMethemoglobinemia is a rare condition that caused impairment of oxygen delivery manifested as spectrum of features ranging from mild desaturations to severe cyanosis and even death. It is rarely seen in the operative theatre and its incidence is scarcely reported. Even low risk patients are susceptible despite having no significant exposure to commonly reported precipitating oxidizing agents. We described a case of perioperative methemoglobinemia in a 10-year-old child, which was planned for foreign body removal in left ear. The operation went successfully; however, the child developed desaturation postoperatively. Arterial blood gas was measured, and methemoglobin levels were noticeably high at 27.1%. The child remained hemodynamically stable, monitored conservatively, and was successfully treated with intravenous methylene blue. We postulated that the cause of methemoglobinemia was intravenous fentanyl usage, as other oxidising agents were excluded. Clinicians must be aware of the possibility of perioperative methemoglobinemia causing unanticipated desaturations and unexplained cyanosis.
dc.identifier.citationMohamad Azlan Awang, & Muhamad Rafiqi Hehsan. (2024). A Rare Case of Perioperative Methemoglobinemia in a Paediatric Child: A Case Report. Malaysian Journal of Medicine and Health Sciences/Malaysian Journal of Medicine and Health Sciences, 20(1), 401–403. https://doi.org/10.47836/mjmhs.20.1.53
dc.identifier.doi10.47836/mjmhs.20.1.53
dc.identifier.epage403
dc.identifier.issn1675-8544
dc.identifier.issue1
dc.identifier.other2208-24
dc.identifier.spage401
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/19930
dc.identifier.urihttps://medic.upm.edu.my/upload/dokumen/2024012412151052_MJMHS_0043.pdf
dc.identifier.volume20
dc.language.isoen_US
dc.publisherFakulti Perubatan dan Sains Kesihatan Universiti Putra Malaysia
dc.relation.ispartofMalaysian Journal of Medicine and Health Sciences
dc.relation.issn2636-9346
dc.relation.journalMalaysian Journal of Medicine and Health Sciences
dc.subjectMethemoglobinemia
dc.subjectperioperative
dc.subjectpediatric
dc.subjectfentanyl
dc.subjectgenetic
dc.titleA Rare Case Of Perioperative Methemoglobinemia In A Paediatric Child: A Case Report
dc.typeJurnal
dspace.entity.typePublication
oaire.citation.endPage403
oaire.citation.issue1
oaire.citation.startPage401
oaire.citation.volume20
oairecerif.author.affiliation#PLACEHOLDER_PARENT_METADATA_VALUE#
oairecerif.author.affiliation#PLACEHOLDER_PARENT_METADATA_VALUE#

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