Open AccessPatient with persistent low oxygen saturation for emergency cesarean section
Author(s) -
Shivali Panwar,
Kirti N Saxena,
Prachi Gaba
Publication year - 2017
Publication title -
al-banǧ. maqālāt wa abḥāṯ fī al-taẖdīr wa-al-in’āš
Language(s) - English
Resource type - Journals
ISSN - 0259-1162
DOI - 10.4103/0259-1162.194348
Subject(s) - pulse oximetry , medicine , methemoglobinemia , oxygen saturation , asymptomatic , anesthesia , respiratory distress , blood pressure , neonatal intensive care unit , surgery , oxygen , pediatrics , chemistry , organic chemistry
A 24-year-old woman with previous undiagnosed congenital methemoglobinemia presented for the emergency cesarean section in view of fetal distress. The patient had a persistent low oxygen saturation on pulse oximetry with normal heart rate and blood pressure. Arterial blood gas values were normal. The patient was asymptomatic and respiratory and cardiovascular system examination was normal. The patient underwent cesarean section under general anesthesia and was shifted to the Intensive Care Unit postoperatively. The oxygen saturation was low throughout the intraoperative and postoperative period. A complete evaluation was done postoperatively. Mass spectrophotometry was done, which confirmed methemoglobinemia in the patient.