Peri operative Management of a Patient with Methaemoglobinaemia Posted for Caesarean Section
Keywords:
Methaemoglobinaemia, Peri operative Management, Pregnancy
Abstract
Methaemoglobinaemia is an uncommon but potentially serious disorder. Stress of pregnancy in a case of congenital methaemoglobinaemia leads to increased Methaemoglobin levels. This at best leads only to aggravation of maternal symptoms like dyspnoea and at worst results in obstetric complications compromising maternal and foetal safety. We present a case of recently diagnosed congenital Methaemoglobinaemia who underwent caesarean section with successful outcome.
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References
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2. Kulkarni A, D’Souza S, Rathod Y, Shetty AN. Anaesthetic management of a patient of Methaemoglobinaemia for emergency lower segment caesarean section. IOSR-JDMS, 2015; 14(2) 67–69 .ICID: 1142494.
3. Palaniappan S, Goon JA, Choor CK , Congenital Methemoglobinemia in Pregnancy. Research Updates in Medical Sciences. 2013, 1(2) : 30- 32.
4. Steinberg MH. Haemoglobins with altered oxygen affinity, unstable haemoglobins, M- haemoglobins and dyshaemoglobinaemias. In: Greer JP, List AF, Rodgers GM, Arber DA, Means RT Jr., Glades B, Paraskevas F, editors. Wintrobe’s Clinical Hematology. 13th ed. Wolter health/ Lippincott Williams & Wilkins. Philadelphia. p. 914-26.
5. Noyes CD, Olufolabi AJ, Habib AS. Subtle desaturation and perioperative Methemoglobinaemia. The need for continued vigilance, Can J Anaesth. 2005 Aug-Sep;52(7):771-2.
6. British Columbia Drug and Poison Information Center (BC DPIC) Methemoglobinemia and medications A to Z. [Online]. 2015 [cited 2015 Nov 17]; [4 pages]. Available from: URL:http://www.dpic.org/article/professional/methemoglobinemia-and-medications-z
7. Lee CH, Kim SH, Kwon DH, Jang KH, Chung YH, Moon JD, Two cases of methaemoglobinaemia induced by exposure to Nitrobenzene and Aniline, Ann Occup Environ Med. 2013;25(1):31. doi: 10.1186/2052-4374-25-31., Da-Silva SS, Sajan IS, Underwood JP 3rd., Congenital methemoglobinemia: a rare cause of cyanosis in the newborn--a case report. Pediatrics. 2003 Aug;112(2):e158-61.
8. Paczek A, Wawrzynska L, Mendek – Czaikowska E, Kober J, Torbicki A., Acquired Methemoglobinemia – Case report. Pneumonol Alergol Pol. 2010;78(2): 153-8. [PubMed]
9. Tandale S, Dave NM, Garsia M, Methaemoglobinaemia: What the anaesthetist must know, Indian J Anaesth. 2013 Jul-Aug; 57(4): 427-28.
10. Mohorovic L, Materljan E, Brumini G., Consequences of methemoglobinemia in pregnancy in newborns, children, and adults: issues raised by new findings on methemoglobin catabolism. J Matern Fetal Neonatal Med. 2010 Sep;23(9):956-9. doi: 10.3109/14767050903410656.
CITATION
DOI: 10.17511/joog.2015.i01.06
Published: 2015-06-30
How to Cite
P Kelkar, V., & P. Nayak, P. (2015). Peri operative Management of a Patient with Methaemoglobinaemia Posted for Caesarean Section. Obs Gyne Review: Journal of Obstetric and Gynecology, 1(1), 27-29. https://doi.org/10.17511/joog.2015.i01.06
Section
Case Report
Copyright (c) 2015 Author (s). Published by Siddharth Health Research and Social Welfare Society
This work is licensed under a Creative Commons Attribution 4.0 International License.
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