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Joseph G. Sandza, Jr.
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Ann Thorac Surg 1980;30:187-190
© 1980 The Society of Thoracic Surgeons

Articles

Symptomatic Methemoglobinemia with a Commonly Used Topical Anesthetic, Cetacaine

Joseph G. Sandza, Jr., M.D.*, Raymond W. Roberts, Pharm.D., Richard C. Shaw, M.D., John P. Connors, M.D.

From the Division of Cardiothoracic Surgery and Department of Pharmacy, Jewish Hospital of St. Louis, St. Louis, MO

Accepted for publication September 7, 1979.

* Address reprint requests to Dr. Sandza, Division of Cardiothoracic Surgery, Jewish Hospital of St. Louis, 216 S Kingshighway, St. Louis, MO 63110

Severe cyanosis resulting from acquired methemoglobinemia after application of a topical anesthetic, Cetacaine spray, occurred in a 37-year-old patient following bronchoscopy for postoperative atelectasis. Response to methylene blue therapy was dramatic and complete. Attention is drawn to a dangerous adverse effect of this commonly used topical anesthetic agent.






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