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World Journal of Plastic Surgery، جلد ۱۱، شماره ۱، صفحات ۱۱۱-۱۱۶
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عنوان انگلیسی Methaemoglobinemia after Liposuction under Tumescent Local Anaesthesia – Diagnostic Value of Pulse Oximetry
چکیده انگلیسی مقاله Background: Tumescent local anaesthesia with prilocain can lead to clinically significant methemoglobin levels. New generation multiple wavelength pulse oximeters (e. g. Masimo Radical 7®) can measure methemoglobin levels. Methods: In this prospective observational study we compared the venous methemoglobin levels and the corresponding pulse oximetric values of the Radical 7® in patients undergoing tumescent local anaesthesia for liposuction procedures. The measurements were performed in Hanseklinik, Luebeck, Germany between 2008 and 2011. Results: In 133 patients, we measured a maximum methemoglobin level of 18 per cent. In a Bland-Altman analysis we found a mean bias of +2.2 % (-4.1 to 8.4 limits of agreement) for pulse oximetric values compared to hemoximetry. Conclusion: Pulse oximetric measurement of methemoglobin is an early-warning tool for the detection of clinically significant methaemoglobinemia in patients with tumescent local anaesthesia.
کلیدواژه‌های انگلیسی مقاله Tumescent anaesthesia, Methaemoglobinemia, Pulse oximetry, Liposuction
نویسندگان مقاله | Sebastian Brandt
Department of Anaesthesiology, University Medical Center Schleswig-Holstein, Campus Luebeck, Luebeck, Germany


| Oliver Kimberger
Department of Anaesthesiology, Medical University of Vienna, Vienna, Austria


| Benjamin Weber
Medical Sensors and Devices Laboratory, Luebeck University of Applied Sciences, Luebeck, Germany


| Anne Klose
Department of Anaesthesiology, Schoenklinik Neustadt, Neustadt, Germany


| Swetlana Stockmann
Institute of Clinical Chemistry, University Medical Center Schleswig-Holstein, Campus Luebeck, Luebeck, Germany


| Wilfried Schmeller
Hanse-Klinik Luebeck, Luebeck, Germany


| Hartmut Gehring
Department of Anaesthesiology, University Medical Center Schleswig-Holstein, Campus Luebeck, Luebeck, Germany


| Patrick Kellner
Department of Anaesthesiology, University Medical Center Schleswig-Holstein, Campus Luebeck, Luebeck, Germany
نشانی اینترنتی http://wjps.ir/browse.php?a_code=A-10-684-2&slc_lang=en&sid=1
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