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A case of rapid onset methaemoglobinaemia associated with local anaesthetic use

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SummaryMethaemoglobinaemia is a rare but serious condition which can arise due to the administration of local anaesthetic agents. A 36‐year‐old woman with metastatic oesophageal adenocarcinoma experienced a rapid onset of methaemoglobinaemia following airway topicalisation with lidocaine and benzocaine sprays for bronchoscopy. The patient was treated with supplementary oxygen, non‐invasive respiratory support, methylene blue and ascorbic acid. Early diagnosis and timely treatment of methaemoglobinaemia can result in rapid clinical improvement and prevent long‐term complications.
Title: A case of rapid onset methaemoglobinaemia associated with local anaesthetic use
Description:
SummaryMethaemoglobinaemia is a rare but serious condition which can arise due to the administration of local anaesthetic agents.
A 36‐year‐old woman with metastatic oesophageal adenocarcinoma experienced a rapid onset of methaemoglobinaemia following airway topicalisation with lidocaine and benzocaine sprays for bronchoscopy.
The patient was treated with supplementary oxygen, non‐invasive respiratory support, methylene blue and ascorbic acid.
Early diagnosis and timely treatment of methaemoglobinaemia can result in rapid clinical improvement and prevent long‐term complications.

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