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- W2080693862 abstract "The authors conducted literature review to create a heightened awareness of the potential for developing toxic methemoglobinemia from local anesthetics. Methemoglobin normally is present in the blood at levels less than 1 percent. Levels may become toxic as hemoglobin is oxidized to methemoglobin after local anesthetics such as benzocaine and prilocaine are administered.The authors searched the medical and pharmaceutical industry literature. They found and reviewed case studies of incidences of methemoglobinemia that resulted from local anesthetic overdoses.Cases of local anesthetic-induced methemoglobinemia in dental practice are under-recognized and rare. Reported cases of prilocaine-induced methemoglobinemia have resulted in recent changes in some prilocaine literature. These changes include maximum recommended doses for patients of various weights.Dentists should identify patients who are at increased risk of developing methemoglobinemia before administering local anesthetics. They also should follow new recommended dosing guidelines for prilocaine and be aware of symptoms of this adverse reaction." @default.
- W2080693862 created "2016-06-24" @default.
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- W2080693862 date "1999-06-01" @default.
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- W2080693862 title "WHEN PATIENTS BECOME CYANOTIC: ACQUIRED METHEMOGLOBINEMIA" @default.
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- W2080693862 doi "https://doi.org/10.14219/jada.archive.1999.0306" @default.
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