Unexpected chronic methemoglobinemia diagnosis in a pregnant patient in labor

Detalhes bibliográficos
Autor(a) principal: Branco,Rute Isabel
Data de Publicação: 2022
Outros Autores: Santos,Nelson, Ferreira,Ana Paula
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302022000200150
Resumo: Abstract Methemoglobinemia is a rare hemoglobinopathy which can complicate pregnancy. The obstetric and anesthetic management of methemoglobin pregnant patients is poorly described. We report a case of a 24-year-old patient admitted in labor, with noticeable cyanosis but no respiratory distress. Oxygen saturation was 86%, remaining unaltered after oxygen therapy. Arterial blood gas showed normoxemia and 24,4% methemoglobin. Efforts were directed at limiting the physiologic stress and oxygen consumption, initiating epidural labor analgesia, and performing a vacuum-assisted vaginal delivery. Mo-ther and baby were discharged after an uneventful hospital stay. The etiologic investigation of cyanosis in this patient revealed this rare hemoglobinopathy.
id RCAP_7b0e6146e2d6ccee417b1de5c1fca73c
oai_identifier_str oai:scielo:S1646-58302022000200150
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Unexpected chronic methemoglobinemia diagnosis in a pregnant patient in laborCyanosisMethemoglobinemiaPregnancyAbstract Methemoglobinemia is a rare hemoglobinopathy which can complicate pregnancy. The obstetric and anesthetic management of methemoglobin pregnant patients is poorly described. We report a case of a 24-year-old patient admitted in labor, with noticeable cyanosis but no respiratory distress. Oxygen saturation was 86%, remaining unaltered after oxygen therapy. Arterial blood gas showed normoxemia and 24,4% methemoglobin. Efforts were directed at limiting the physiologic stress and oxygen consumption, initiating epidural labor analgesia, and performing a vacuum-assisted vaginal delivery. Mo-ther and baby were discharged after an uneventful hospital stay. The etiologic investigation of cyanosis in this patient revealed this rare hemoglobinopathy.Euromédice, Edições Médicas Lda.2022-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302022000200150Acta Obstétrica e Ginecológica Portuguesa v.16 n.2 2022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302022000200150Branco,Rute IsabelSantos,NelsonFerreira,Ana Paulainfo:eu-repo/semantics/openAccess2024-02-06T17:21:56Zoai:scielo:S1646-58302022000200150Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:28:47.267220Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Unexpected chronic methemoglobinemia diagnosis in a pregnant patient in labor
title Unexpected chronic methemoglobinemia diagnosis in a pregnant patient in labor
spellingShingle Unexpected chronic methemoglobinemia diagnosis in a pregnant patient in labor
Branco,Rute Isabel
Cyanosis
Methemoglobinemia
Pregnancy
title_short Unexpected chronic methemoglobinemia diagnosis in a pregnant patient in labor
title_full Unexpected chronic methemoglobinemia diagnosis in a pregnant patient in labor
title_fullStr Unexpected chronic methemoglobinemia diagnosis in a pregnant patient in labor
title_full_unstemmed Unexpected chronic methemoglobinemia diagnosis in a pregnant patient in labor
title_sort Unexpected chronic methemoglobinemia diagnosis in a pregnant patient in labor
author Branco,Rute Isabel
author_facet Branco,Rute Isabel
Santos,Nelson
Ferreira,Ana Paula
author_role author
author2 Santos,Nelson
Ferreira,Ana Paula
author2_role author
author
dc.contributor.author.fl_str_mv Branco,Rute Isabel
Santos,Nelson
Ferreira,Ana Paula
dc.subject.por.fl_str_mv Cyanosis
Methemoglobinemia
Pregnancy
topic Cyanosis
Methemoglobinemia
Pregnancy
description Abstract Methemoglobinemia is a rare hemoglobinopathy which can complicate pregnancy. The obstetric and anesthetic management of methemoglobin pregnant patients is poorly described. We report a case of a 24-year-old patient admitted in labor, with noticeable cyanosis but no respiratory distress. Oxygen saturation was 86%, remaining unaltered after oxygen therapy. Arterial blood gas showed normoxemia and 24,4% methemoglobin. Efforts were directed at limiting the physiologic stress and oxygen consumption, initiating epidural labor analgesia, and performing a vacuum-assisted vaginal delivery. Mo-ther and baby were discharged after an uneventful hospital stay. The etiologic investigation of cyanosis in this patient revealed this rare hemoglobinopathy.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302022000200150
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302022000200150
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S1646-58302022000200150
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Euromédice, Edições Médicas Lda.
publisher.none.fl_str_mv Euromédice, Edições Médicas Lda.
dc.source.none.fl_str_mv Acta Obstétrica e Ginecológica Portuguesa v.16 n.2 2022
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799137357070336000

Registros relacionados