Methemoglobinemia incidence after the application of lidocaine for small surgical procedures

Elnare Günal; Yeliz Akkuş; Gülşen Çığşar; Handan Çiftçi; Şahin Kahramanca; Murat Özdemir

doi:10.5505/agri.2017.91328

Elnare Günal^¹, Yeliz Akkuş^², Gülşen Çığşar^¹, Handan Çiftçi^¹, Şahin Kahramanca^³, Murat Özdemir^¹

¹Kafkas Üniversitesi Tıp Fakültesi Acil Tıp Bölümü, Kars
²Kafkas Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Bölümü, Kars
³Kars Harakani Devlet Hastanesi, Kars

Anahtar Kelimeler: Lokal lidokain uygulaması, methemoglobinemia; küçük cerrahi işlem.

Özet

Objectives: Methemoglobinemia (MetHb) is a rare condition that may have mortal consequences. Literature shows cases of methemoglobinemia due to the use of lidocaine and other local anesthetics. This is a cross-sectional study to determine the incidence of methemoglobinemia after the application of lidocaine.
Methods: In this study, 88 patients admitted to the emergency department of a university hospital between May 2014 and May 2015 and needed lidocaine application for small surgical procedures were included. When compared before and after the administration of lidocaine <2 mg/kg and >2 mg/kg, there was not a significant difference in the level of methemoglobin, hemoglobin, or in the hematocrit (p=0.604, p=0.502, and p=0.367, respectively).
Results: Mean age of the patients was 33.85 (±17.58) years, and 83% of the patients were male. Methemoglobin levels were not significantly different before and after the procedures (p>0.05).
Conclusion: The results of our study were consistent with the literature; lidocaine-associated methemoglobinemia is a rare complication.

BibTex	`@article{ agri892, doi = {10.5505/agri.2017.91328}, author = {Elnare Günal, Yeliz Akkuş, Gülşen Çığşar, Handan Çiftçi, Şahin Kahramanca, Murat Özdemir}, title = {Methemoglobinemia incidence after the application of lidocaine for small surgical procedures}, journal = {Agri}, year = {2017}, volume = {29}, number = {4}, pages = {173-176}, publisher = {The Turkish Society of Algology} }`
RIS	`TY - JOUR AU - Elnare Günal, Yeliz Akkuş, Gülşen Çığşar, Handan Çiftçi, Şahin Kahramanca, Murat Özdemir PY - 2017 TI - Methemoglobinemia incidence after the application of lidocaine for small surgical procedures SP - 173 EP - 176 JO - The Journal of the Turkish Society of Algology J2 - Agri VL - 29 IS - 4 PB - DO - 10.5505/agri.2017.91328 ER -`
EndNote	`%0 Journal Article %A Elnare Günal, Yeliz Akkuş, Gülşen Çığşar, Handan Çiftçi, Şahin Kahramanca, Murat Özdemir %T Methemoglobinemia incidence after the application of lidocaine for small surgical procedures %J The Journal of the Turkish Society of Algology %D 2017 %V 29 %N 4 %P 173-176 %R 10.5505/agri.2017.91328`
APA	Elnare Günal, Yeliz Akkuş, Gülşen Çığşar, Handan Çiftçi, Şahin Kahramanca, Murat Özdemir (2017). Methemoglobinemia incidence after the application of lidocaine for small surgical procedures. The Journal of the Turkish Society of Algology, 29(4), 173-176. doi:10.5505/agri.2017.91328
MLA	Elnare Günal, Yeliz Akkuş, Gülşen Çığşar, Handan Çiftçi, Şahin Kahramanca, Murat Özdemir. "Methemoglobinemia incidence after the application of lidocaine for small surgical procedures" The Journal of the Turkish Society of Algology, vol. 29, no. 4, 2017, pp. 173-176. doi:10.5505/agri.2017.91328.
Chicago	Elnare Günal, Yeliz Akkuş, Gülşen Çığşar, Handan Çiftçi, Şahin Kahramanca, Murat Özdemir. "Methemoglobinemia incidence after the application of lidocaine for small surgical procedures" The Journal of the Turkish Society of Algology 29, no. 4 (2017): 173-176. https://doi.org/10.5505/agri.2017.91328.
AMA	Elnare Günal, Yeliz Akkuş, Gülşen Çığşar, Handan Çiftçi, Şahin Kahramanca, Murat Özdemir. Methemoglobinemia incidence after the application of lidocaine for small surgical procedures. Agri. 2017; 29(4): 173-176. doi:10.5505/agri.2017.91328.
Vancouver	Elnare Günal, Yeliz Akkuş, Gülşen Çığşar, Handan Çiftçi, Şahin Kahramanca, Murat Özdemir. Methemoglobinemia incidence after the application of lidocaine for small surgical procedures. Agri. 2017; 29(4): 173-176. doi:10.5505/agri.2017.91328

Küçük cerrahi işlemlerde lidokain uygulaması sonrası methemoglobinemi insidansı

Özet

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