Anestesia e Pesquisa Clínica
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Anesthetic Concerns of Patient Planned for Urgent Surgery with Incidental Diagnosis of Methemoglobinemia in Hansen’s Disease: A Case Report

Sudarshan Naik, Manish Agarwal, Akhil Goel

The methemoglobinemia is rare clinical condition to encounter during perioperative period. However, methemoglobinemia diagnosis should be considered with patients presenting complaints of cyanosis and hypoxia or low SpO₂ (On pulse oximeter) which is unrelated to cardiopulmonary causes. Patient who was known case of Hansen’s disease on multi drug therapy planned for ulnar nerve decompression had low saturation even on providing oxygen therapy which on evaluation found to be drug induced methemoglobinemia. Plan and mode of anesthesia preference for consideration of any type of surgery with methemoglobinemia needs to be evaluated thoroughly as it being a rare disease.