Prevalence of Abnormal Methemoglobinemia and Its Determinants in Patients Receiving Nitroglycerin During Anesthesia | Zendy

Farsad Imani | Zendy; Alireza Behseresht | Zendy; Pejman Pourfakhr | Zendy; Reza Shariat Moharari | Zendy; Farhad Etezadi | Zendy; Mohamadreza Khajavi | Zendy

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Prevalence of Abnormal Methemoglobinemia and Its Determinants in Patients Receiving Nitroglycerin During Anesthesia

Author(s) -

Farsad Imani,

Alireza Behseresht,

Pejman Pourfakhr,

Reza Shariat Moharari,

Farhad Etezadi,

Mohamadreza Khajavi

Publication year - 2019

Publication title -

anesthesiology and pain medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.438

H-Index - 26

eISSN - 2228-7531

pISSN - 2228-7523

DOI - 10.5812/aapm.85852

Subject(s) - methemoglobinemia , medicine , methemoglobin , anesthesia , nitroglycerin (drug) , blood pressure , logistic regression , medical prescription , confounding , hemoglobin , pharmacology

For the first time, we showed that more than half of the patients undergoing surgery suffered from methemoglobin level above 2% after prescribing nitroglycerin, and the only predictor of abnormal methemoglobin level was the rate of nitroglycerin prescription. Anesthesiologists are recommended to be more careful about the speed of nitroglycerin infusion, and if the patient needs higher doses, patient care for the early detection of methemoglobinemia should be the priority.

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