A case of methemoglobinemia due to Citanest and Octapressin<sup>®</sup>.

DOI
  • KAWAI Tadashi
    Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, Iwate Medical University, School of Dentistry
  • TSUNODA Naoko
    Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, Iwate Medical University, School of Dentistry
  • KOMATSU Yuko
    Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, Iwate Medical University, School of Dentistry
  • HIRANO Taifu
    Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, Iwate Medical University, School of Dentistry
  • NISHIHIRA Soko
    Division of Oral and Maxillofacial Surgery, JA Akitakoseiren Ogachichuo Hospital
  • SASAMURA Yuto
    Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, Iwate Medical University, School of Dentistry
  • OBATA Kengo
    Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, Iwate Medical University, School of Dentistry
  • ITO Motoi
    Division of Dental Anesthesiology, Department of Reconstructive Oral and Maxillofacial Surgery, Iwate Medical University, School of Dentistry
  • SHINOHE Yutaka
    Division of Dental Anesthesiology, Department of Reconstructive Oral and Maxillofacial Surgery, Iwate Medical University, School of Dentistry
  • CHIBA Toshimi
    Division of Internal Medicine, Department of Oral Medicine, School of Dentistry, Iwate Medical University
  • SATO Kenichi
    Division of Dental Anesthesiology, Department of Reconstructive Oral and Maxillofacial Surgery, Iwate Medical University, School of Dentistry
  • YAMADA Hiroyuki
    Division of Oral and Maxillofacial Surgery, Department of Reconstructive Oral and Maxillofacial Surgery, Iwate Medical University, School of Dentistry

Bibliographic Information

Other Title
  • シタネスト･オクタプレッシンカートリッジ<sup>® </sup>使用により 生じたメトヘモグロビン血症の1 例

Description

<p>Methemoglobinemia is a known complication of local anesthesia use in dental treatment. Methemoglobin reduces oxygen carrying capacity. This report presents a case of methemoglobinemia due to Citanest and Octapressin® use for mandibular fracture treatment. A 68-year-old man with a diagnosis of mandibular fracture received an intermaxillary fixation before fracture surgery. Then, Citanest and Octapressin® was used. A total amount of propitocaine was 324 mg. After moving to the operating room, oxygen saturation of peripheral artery decreased. Methemoglobin increased to 6.4% from arterial blood gas analysis, suggesting methemoglobinemia. After that, it improved with oxygen therapy. It is suggested that methemoglobinemia should be noted when using large amounts of propitocaine.</p>

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Keywords

Details 詳細情報について

  • CRID
    1390853818702173312
  • NII Article ID
    130008145214
  • DOI
    10.20663/iwateshigakukaishi.46.2_85
  • ISSN
    24241822
    03851311
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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