XML Print


Department of Anaesthesiology, University Medical Center Schleswig-Holstein, Campus Luebeck, Luebeck, Germany , sebastian.brandt@uksh.de
Abstract:   (79 Views)
Background:
Tumescent local anaesthesia with prilocain can lead to clinically significant methemoglobin levels. New generation multiple wavelength pulse oximeters (e. g. Masimo Radical 7®) can measure methemoglobin levels.
Methods:
In this prospective observational study we compared the venous methemoglobin levels and the corresponding pulse oximetric values of the Radical 7® in patients undergoing tumescent local anaesthesia for liposuction procedures. The measurements were performed in Hanseklinik, Luebeck, Germany between 2008 and 2011.
Results:
In 133 patients, we measured a maximum methemoglobin level of 18 per cent. In a Bland-Altman analysis we found a mean bias of +2.2 % (-4.1 to 8.4 limits of agreement) for pulse oximetric values compared to hemoximetry.
Conclusion:
Pulse oximetric measurement of methemoglobin is an early-warning tool for the detection of clinically significant methaemoglobinemia in patients with tumescent local anaesthesia.
Full-Text [PDF 314 kb]   (26 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2021/11/24 | Accepted: 2021/10/26

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2021 CC BY-NC 4.0 | World Journal of Plastic Surgery

Designed & Developed by : Yektaweb