Page last updated: 2024-10-23

benzocaine and Cyanosis

benzocaine has been researched along with Cyanosis in 33 studies

Benzocaine: A surface anesthetic that acts by preventing transmission of impulses along NERVE FIBERS and at NERVE ENDINGS.
dextran sulfate sodium : An organic sodium salt of dextran sulfate. It induces colitis in mice.
benzocaine : A benzoate ester having 4-aminobenzoic acid as the acid component and ethanol as the alcohol component. A surface anaesthetic, it is used to suppress the gag reflex, and as a lubricant and topical anaesthetic on the larynx, mouth, nasal cavity, respiratory tract, oesophagus, rectum, urinary tract, and vagina.

Cyanosis: A bluish or purplish discoloration of the skin and mucous membranes due to an increase in the amount of deoxygenated hemoglobin in the blood or a structural defect in the hemoglobin molecule.

Research Excerpts

ExcerptRelevanceReference
"Widely used for local anesthesia, especially prior to endoscopic procedures, benzocaine spray is one of the most common causes of iatrogenic methemoglobinemia."7.77Atypical presentations of methemoglobinemia from benzocaine spray. ( Evans, SJ; Suwantarat, N; Tantisattamo, E; Vierra, JR, 2011)
"We report a case of methemoglobinemia secondary to topical benzocaine gel."7.76Severe methemoglobinemia linked to gel-type topical benzocaine use: a case report. ( Baldauf, M; Batra, R; Boruchov, D; Chung, NY; Itzkevitch, M, 2010)
"Acute cyanosis and methemoglobinemia developed following topical application and partial ingestion of benzocaine for esophagogastroduodenoscopy."7.68Methemoglobinemia from topical benzocaine. ( Grum, DF; Rice, TW, 1990)
"Intense cyanosis in a previously well, 30-month-old, white girl was found to be due to the ingestion of benzocaine."7.66Benzocaine-induced methemoglobinemia. ( Hillman, JV; Potter, JL, 1979)
"Acutely developing methemoglobinemia is infrequently encountered in clinical practice."5.33Benzocaine-induced methemoglobinemia. ( Hegedus, F; Herb, K, 2005)
"Acquired methemoglobinemia is a potentially lethal medical condition caused by exposure to oxidizing xenobiotics, including antibiotics such as dapsone and inhaled anesthetics such as benzocaine."4.31Acquired Methemoglobinemia in the Surgical Intensive Care Unit. ( Lombardozzi, K; Mathews, T; Mentzer, C; Morrow, C; Tackett, N; Thurston, B, 2023)
"Methemoglobinemia (MetHb) after exposure to benzocaine (BZC) has been reported for more than 50 years, however the pathophysiologic mechanism has not been previously established."3.80Identification of N-Hydroxy-para-aminobenzoic acid in a cyanotic child after benzocaine exposure. ( Casavant, MJ; Gerona, RR; Ho, RY; Russell, JL; Spiller, HA, 2014)
"Widely used for local anesthesia, especially prior to endoscopic procedures, benzocaine spray is one of the most common causes of iatrogenic methemoglobinemia."3.77Atypical presentations of methemoglobinemia from benzocaine spray. ( Evans, SJ; Suwantarat, N; Tantisattamo, E; Vierra, JR, 2011)
"We report a case of methemoglobinemia secondary to topical benzocaine gel."3.76Severe methemoglobinemia linked to gel-type topical benzocaine use: a case report. ( Baldauf, M; Batra, R; Boruchov, D; Chung, NY; Itzkevitch, M, 2010)
"Acute cyanosis and methemoglobinemia developed following topical application and partial ingestion of benzocaine for esophagogastroduodenoscopy."3.68Methemoglobinemia from topical benzocaine. ( Grum, DF; Rice, TW, 1990)
"Intense cyanosis in a previously well, 30-month-old, white girl was found to be due to the ingestion of benzocaine."3.66Benzocaine-induced methemoglobinemia. ( Hillman, JV; Potter, JL, 1979)
"Methylene blue is an agent thought to help reverse the effects of methemoglobinemia by facilitating the methemoglobin reductase system."2.49Methemoglobinemia in bronchoscopy: a case series and a review of the literature. ( Bowling, M; Brown, C, 2013)
" They also should follow new recommended dosing guidelines for prilocaine and be aware of symptoms of this adverse reaction."2.40When patients become cyanotic: acquired methemoglobinemia. ( Lloyd, LM; Wilburn-Goo, D, 1999)
"Acutely developing methemoglobinemia is infrequently encountered in clinical practice."1.33Benzocaine-induced methemoglobinemia. ( Hegedus, F; Herb, K, 2005)
"Benzocaine is a commonly used topical anesthetic present in many over-the-counter preparations."1.31Unexpected cyanosis in the surgical patient. ( Douglass, HO; Lee, JS; Mendez, PA, 2000)

Research

Studies (33)

TimeframeStudies, this research(%)All Research%
pre-19908 (24.24)18.7374
1990's3 (9.09)18.2507
2000's9 (27.27)29.6817
2010's12 (36.36)24.3611
2020's1 (3.03)2.80

Authors

AuthorsStudies
Tackett, N1
Mathews, T1
Mentzer, C1
Morrow, C1
Thurston, B1
Lombardozzi, K1
Kaufman, MR1
Aouad, RK1
Moreland, MW1
Faraon-Pogaceanu, C1
Nield, LS1
Brown, C1
Bowling, M1
Shu, I1
Wang, P1
Abdelmoneim, SS1
Mankad, S1
Mulvagh, SL1
Harris, NS1
Bazydlo, LA1
Winter, WE1
Green, D1
Barry, P1
Green, HD1
Spiller, HA1
Russell, JL1
Casavant, MJ1
Ho, RY1
Gerona, RR1
Cash, C1
Arnold, DH1
Chung, NY1
Batra, R1
Itzkevitch, M1
Boruchov, D1
Baldauf, M1
Gyimesi, ZS1
Burns, RB1
Kreshak, AA1
Ly, BT1
Edwards, WC1
Carson, SH1
Tentindo, G1
Rosenberg, M1
Tantisattamo, E1
Suwantarat, N1
Vierra, JR1
Evans, SJ1
Picton, P1
Wilkins, AN1
Robinson, P1
STEINBERG, JB1
ZEPERNICK, RG1
HUGHES, JR1
BERNSTEIN, BM2
Hegedus, F1
Herb, K1
Darracq, MA1
Daubert, GP1
Spielman, FJ1
Anderson, JA1
Terry, WC1
Olson, ML1
McEvoy, GK1
Cooper, HA1
Wilburn-Goo, D1
Lloyd, LM1
Lee, JS1
Mendez, PA1
Douglass, HO1
Ramsakal, A1
Lezama, JL1
Adelman, HM1
Voelker, CA1
Brown, L1
Hinson, RM1
Potter, JL1
Hillman, JV1
Grum, DF1
Rice, TW1
Ferraro, L1
Zeichner, S1
Greenblott, G1
Groeger, JS1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Methemoglobin Levels in Generally Anesthetized Pediatric Dental Patients Receiving Prilocaine Versus Lidocaine[NCT01402869]91 participants (Actual)Interventional2011-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Delta Methemoglobin Blood Level

Change in percentage of methemoglobin in blood from baseline level to peak level (NCT01402869)
Timeframe: From administration of local anesthetic or start of restorative procedures to time at which maximum methemoglobin blood level was documented during dental treatment for an average of 2 hours

Interventionpercentage of methemoglobin in blood (Mean)
Prilocaine2.73
Lidocaine0.78
No Local Anesthetic0.76

Peak Methemoglobin Blood Levels

The maximum percentage of methemoglobin in blood (NCT01402869)
Timeframe: Measured at 10 second intervals during dental treatment for an average of 2 hours

Interventionpercentage of methemoglobin in blood (Mean)
Prilocaine3.55
Lidocaine1.63
No Local Anesthetic1.60

Time to Peak Methemoglobin Blood Levels

The length of time between the administration of local anesthetic (Prilocaine and Lidocaine Groups) or start of restorative dental procedures (No local anesthetic Group) and the time at which the maximum methemoglobin blood level is observed. (NCT01402869)
Timeframe: Measured at 10 second intervals during dental treatment for an average of 2 hours

Interventionminutes (Mean)
Prilocaine62.73
Lidocaine57.50
No Local Anesthetic29.50

Reviews

3 reviews available for benzocaine and Cyanosis

ArticleYear
Methemoglobinemia in bronchoscopy: a case series and a review of the literature.
    Journal of bronchology & interventional pulmonology, 2013, Volume: 20, Issue:3

    Topics: Adult; Anesthetics, Local; Benzocaine; Bronchoscopy; Carbon Monoxide; Child; Cyanosis; Humans; Methe

2013
Methemoglobinemia caused by benzocaine topical spray.
    Southern medical journal, 1997, Volume: 90, Issue:9

    Topics: Acute Disease; Administration, Topical; Adult; Aerosols; Anesthesia, Local; Anesthetics, Local; Anti

1997
When patients become cyanotic: acquired methemoglobinemia.
    Journal of the American Dental Association (1939), 1999, Volume: 130, Issue:6

    Topics: Anesthesia, Dental; Anesthesia, Local; Anesthetics, Local; Benzocaine; Cyanosis; Drug Overdose; Huma

1999

Other Studies

30 other studies available for benzocaine and Cyanosis

ArticleYear
Acquired Methemoglobinemia in the Surgical Intensive Care Unit.
    The American surgeon, 2023, Volume: 89, Issue:9

    Topics: Anesthetics, Local; Benzocaine; Critical Care; Cyanosis; Humans; Methemoglobinemia; Methylene Blue

2023
Benzocaine-Induced Methemoglobinemia.
    The Journal of emergency medicine, 2017, Volume: 53, Issue:6

    Topics: Administration, Topical; Analgesics; Benzocaine; Cyanosis; Emergency Service, Hospital; Female; Huma

2017
Blue Baby With a Red Perineum.
    Clinical pediatrics, 2018, Volume: 57, Issue:11

    Topics: Administration, Topical; Anesthetics, Local; Ascorbic Acid; Benzocaine; Cyanosis; Diagnosis, Differe

2018
A 70-year-old man with blue skin.
    Clinical chemistry, 2014, Volume: 60, Issue:4

    Topics: Aged; Anesthetics, Local; Benzocaine; Cyanosis; Humans; Male; Methemoglobinemia

2014
Commentary.
    Clinical chemistry, 2014, Volume: 60, Issue:4

    Topics: Anesthetics, Local; Benzocaine; Cyanosis; Humans; Male; Methemoglobinemia

2014
Commentary.
    Clinical chemistry, 2014, Volume: 60, Issue:4

    Topics: Anesthetics, Local; Benzocaine; Cyanosis; Humans; Male; Methemoglobinemia

2014
Central cyanosis on a psychiatric unit treated at the Salford Royal Hospital.
    Thorax, 2014, Volume: 69, Issue:12

    Topics: Benzocaine; Cyanosis; Humans; Illicit Drugs; Indans; Methemoglobinemia; Schizophrenic Psychology; Su

2014
Identification of N-Hydroxy-para-aminobenzoic acid in a cyanotic child after benzocaine exposure.
    Clinical toxicology (Philadelphia, Pa.), 2014, Volume: 52, Issue:9

    Topics: 4-Aminobenzoic Acid; Acetaminophen; Administration, Topical; Benzocaine; Bupivacaine; Child; Cyanosi

2014
Extreme Methemoglobinemia After Topical Benzocaine: Recognition by Pulse Oximetry.
    The Journal of pediatrics, 2017, Volume: 181

    Topics: Administration, Topical; Anesthetics, Local; Benzocaine; Child, Preschool; Cyanosis; Enzyme Inhibito

2017
Severe methemoglobinemia linked to gel-type topical benzocaine use: a case report.
    The Journal of emergency medicine, 2010, Volume: 38, Issue:5

    Topics: Administration, Topical; Analgesics; Benzocaine; Child, Preschool; Cyanosis; Enzyme Inhibitors; Gels

2010
Presumptive benzocaine-induced methemoglobinemia in a slender-tailed meerkat (Suricata suricatta).
    Journal of zoo and wildlife medicine : official publication of the American Association of Zoo Veterinarians, 2009, Volume: 40, Issue:2

    Topics: Administration, Topical; Animals; Benzocaine; Cyanosis; Glucose; Herpestidae; Hypoxia; Male; Methemo

2009
A 3-year-old boy with fever and oral lesions. Diagnosis: methemoglobinemia.
    Pediatric annals, 2009, Volume: 38, Issue:11

    Topics: Administration, Topical; Benzocaine; Child, Preschool; Cyanosis; Fever; Humans; Male; Methemoglobine

2009
Methemoglobinemia and local anesthesia: what every dentist should know.
    Journal of the Massachusetts Dental Society, 2010,Summer, Volume: 59, Issue:2

    Topics: Anesthesia, Dental; Anesthetics, Local; Antidotes; Benzocaine; Cyanosis; Disease Susceptibility; Hum

2010
Atypical presentations of methemoglobinemia from benzocaine spray.
    Hawaii medical journal, 2011, Volume: 70, Issue:6

    Topics: Anesthetics, Local; Benzocaine; Cyanosis; Female; Humans; Methemoglobinemia; Middle Aged; Oxygen Con

2011
The use of lubricants to achieve tracheal intubation in neonates and infants.
    Paediatric anaesthesia, 2002, Volume: 12, Issue:8

    Topics: Anesthetics, Local; Benzocaine; Cyanosis; Female; Humans; Infant, Newborn; Intubation, Intratracheal

2002
Benzocaine-induced methemoglobinemia.
    Nursing, 2003, Volume: 33, Issue:3

    Topics: Anesthesia, Local; Benzocaine; Cyanosis; Female; Humans; Methemoglobinemia; Middle Aged; Oximetry

2003
Methemoglobinemia during anesthesia.
    The Journal of pediatrics, 1962, Volume: 61

    Topics: Anesthesia; Anesthesia, Endotracheal; Benzocaine; Cyanosis; Humans; Methemoglobinemia

1962
INFANTILE METHEMOGLOBINEMIA DUE TO BENZOCAINE SUPPOSITORY.
    The Journal of pediatrics, 1965, Volume: 66

    Topics: Ascorbic Acid; Benzocaine; Clinical Laboratory Techniques; Cyanosis; Drug Therapy; Humans; Infant; L

1965
Cyanosis following use of anesthesin (ethyl-amino-benzoate); case report.
    The Review of gastroenterology, 1952, Volume: 19, Issue:5

    Topics: Aminobenzoates; Benzoates; Benzocaine; Cyanosis

1952
Cyanosis following use of anesthesin; case report.
    The Review of gastroenterology, 1950, Volume: 17, Issue:2

    Topics: Anesthesia; Anesthesiology; Benzocaine; Cyanosis; Humans

1950
Benzocaine-induced methemoglobinemia.
    Anesthesia progress, 2005,Winter, Volume: 52, Issue:4

    Topics: Abscess; Anesthetics, Local; Benzocaine; Cyanosis; Drainage; Enzyme Inhibitors; Female; Humans; Meth

2005
A cyanotic toddler.
    Pediatric emergency care, 2007, Volume: 23, Issue:3

    Topics: Anesthetics, Local; Benzocaine; Carbon Monoxide; Child, Preschool; Cyanosis; Humans; Hypoxia; Male;

2007
Benzocaine-induced methemoglobinemia during general anesthesia.
    Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons, 1984, Volume: 42, Issue:11

    Topics: Adult; Anesthesia, Dental; Anesthesia, General; Benzocaine; Cyanosis; Humans; Male; Methemoglobinemi

1984
Methemoglobinemia induced by local anesthetics.
    American journal of hospital pharmacy, 1981, Volume: 38, Issue:1

    Topics: 4-Aminobenzoic Acid; Adult; Aminobenzoates; Anesthetics, Local; Benzocaine; Cyanosis; Humans; Intuba

1981
Unexpected cyanosis in the surgical patient.
    Surgical endoscopy, 2000, Volume: 14, Issue:6

    Topics: Adult; Anesthetics, Local; Benzocaine; Cyanosis; Endoscopy; Female; Humans; Intubation, Gastrointest

2000
A potentially fatal effect of topical anesthesia.
    Hospital practice (1995), 2001, Jun-15, Volume: 36, Issue:6

    Topics: Administration, Topical; Aged; Anesthetics, Local; Benzocaine; Cyanosis; Endocarditis, Bacterial; En

2001
Perioperatively acquired methaemoglobinaemia in a preterm infant.
    Paediatric anaesthesia, 2002, Volume: 12, Issue:3

    Topics: Anesthetics, Local; Benzocaine; Cyanosis; Diseases in Twins; Female; Humans; Infant, Newborn; Infant

2002
Benzocaine-induced methemoglobinemia.
    JACEP, 1979, Volume: 8, Issue:1

    Topics: Accidents, Home; Benzocaine; Child, Preschool; Cyanosis; Humans; Methemoglobinemia; Methylene Blue;

1979
Methemoglobinemia from topical benzocaine.
    Cleveland Clinic journal of medicine, 1990, Volume: 57, Issue:4

    Topics: Administration, Topical; Benzocaine; Cyanosis; Endoscopy; Female; Humans; Methemoglobinemia; Middle

1990
Cetacaine-induced acute methemoglobinemia.
    Anesthesiology, 1988, Volume: 69, Issue:4

    Topics: 4-Aminobenzoic Acid; Acute Disease; Aged; Aminobenzoates; Benzalkonium Compounds; Benzocaine; Cetrim

1988