Çocuk Sağlığı ve Hastalıkları Dergisi 2005 , Vol 48 , Num 1
Intravenous ascorbic acid treatment in prilocaine-induced methemoglobinemia: report of two cases
Metin Aydoğan1, Demet Gedikbaşı Toprak1, Gülcan Türker1, Emine Zengin1 Emin Sami Arısoy2, Ayşe Sevim Gökalp2
Kocaeli Üniversitesi Tıp Fakültesi 1Pediatri Yardımcı Doçenti, 2Pediatri Profesörü Aydoğan M, Gedikbaşı-Toprak D, Türker G, Zengin E, Arısoy ES, Gökalp AS. (Department of Pediatrics, Kocaeli University Faculty of Medicine, Kocaeli, Turkey). Intravenous ascorbic acid treatment in prilocaine-induced methemoglobinemia: report of two cases. Çocuk Sağlığı ve Hastalıkları Dergisi 2005; 48: 65-68.

Experience with intravenous ascorbic acid treatment in prilocaine-induced methemoglobinemia is limited. In this report we present our experience about intravenous ascorbic acid treatment in two cases with prilocaine-induced toxic methemoglobinemia. A 25-day-old male newborn and an eight-month-old male infant were admitted to the Emergency Unit with nephrostomy and circumcision operations, respectively. Blood methemoglobin levels were 54% and 31%, respectively. Ascorbic acid (300 mg/kg) was applied by intravenous route, and cyanosis had completely resolved at the end of the second hour. In toxic methemoglobinemia, intravenous ascorbic acid may be used if methylene blue is not available. Ascorbic acid is also safe in glucose-6-phosphate dehydrogenasedeficient patients when compared with methylene blue. Anahtar Kelimeler : Methemoglobinemi, prilokain, askorbik asit, bebek, methemoglobinemia, prilocaine, ascorbic acid, infant

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