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Anasthesiol Intensivmed Notfallmed Schmerzther · May 2009
Case Reports[Severe methemoglobinaemia following sodium nitrite ingestion].
- Matthias Moos, Ralph Schröder, Martin Lang, and Beat Frauchiger.
- Institut für Anästhesie und Reanimation am Kantonsspital Frauenfeld. matthias.moos@stgag.ch
- Anasthesiol Intensivmed Notfallmed Schmerzther. 2009 May 1; 44 (5): 328-34.
AbstractWe report the case of a patient suffering from a severe methemoglobinaemia following accidental sodium nitrite intoxication, a substance frequently used as a preservation agent for animal feed. On base of this case report, pathophysiology, clinical symptoms, diagnostical and therapeutical options with methylene blue (1-2 mg/kg of body weight) are discussed. Recently, pulse oximeters capable to measure 4 different hemoglobins have been introduced. These may be helpful for diagnosis especially in the prehospital setting.
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