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Mark S. Slaughter
Paul J. Gordon
Jack C. Roberts
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Ann Thorac Surg 1999;67:1776-1778
© 1999 The Society of Thoracic Surgeons

Case Reports

An unusual case of hypoxia from benzocaine-induced methemoglobinemia

Mark S. Slaughter, MDa, Paul J. Gordon, MDa, Jack C. Roberts, MDa, Patroklos S. Pappas, MDa

a Sections of Thoracic Surgery and Adult Cardiac Surgery, Christ Hospital and Medical Center, Oak Lawn, Illinois, USA

Accepted for publication November 4, 1998.

Address reprint requests to Dr Slaughter, 4400 W. 95th St, Ste 205, Oak Lawn, IL 60453

Hypoxemia during bronchoscopy occurs frequently. It can usually be managed by supplemental oxygen and bronchodilators or, in some cases, occasionally stopping the procedure. Benzocaine spray is commonly used as a topical anesthetic agent during bronchoscopy. However, it has been associated with the development of methemoglobinemia. The following is a case report of hypoxia during bronchoscopy from benzocaine-induced methemoglobinemia and its management.






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