Page last updated: 2024-10-28

lidocaine and Methemoglobinemia

lidocaine has been researched along with Methemoglobinemia in 102 studies

Lidocaine: A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE.
lidocaine : The monocarboxylic acid amide resulting from the formal condensation of N,N-diethylglycine with 2,6-dimethylaniline.

Methemoglobinemia: The presence of methemoglobin in the blood, resulting in cyanosis. A small amount of methemoglobin is present in the blood normally, but injury or toxic agents convert a larger proportion of hemoglobin into methemoglobin, which does not function reversibly as an oxygen carrier. Methemoglobinemia may be due to a defect in the enzyme NADH methemoglobin reductase (an autosomal recessive trait) or to an abnormality in hemoglobin M (an autosomal dominant trait). (Dorland, 27th ed)

Research Excerpts

ExcerptRelevanceReference
"Lidocaine-prilocaine cream is efficacious and safe for the prevention of pain from circumcision in neonates."9.08Efficacy and safety of lidocaine-prilocaine cream for pain during circumcision. ( Ben-David, S; Craig, K; Koren, G; Mulligan, P; Rastogi, P; Shennan, A; Stevens, B; Taddio, A, 1997)
" It teaches the recognition and management of an infant with lidocaine toxicity and resultant methemoglobinemia."8.02Pediatric Toxidrome Simulation Curriculum: Lidocaine-Induced Methemoglobinemia. ( Burns, R; Connelly, S; Davila, U; Hardy, N; Mazor, S; Pearce, J; Rosso, CD; Thomas, A, 2021)
"Neonatal methemoglobinemia is a rare and potentially fatal complication of local anesthetics, particularly prilocaine, administered to the mother during childbirth."8.02[Unexplained cyanosis in two newborns: neonatal methemoglobinemia after maternal perineal infiltration of prilocaine]. ( Alers, NO; Leijten, A; Ten Brink, F; van de Laar, R; van der Heijden, HHACM; Wieland, BV, 2021)
"We present a case of a patient administered parasternal transdermal lidocaine patch therapy as part of a multimodal analgesic regime designed to diminish opioid-associated delirium after coronary bypass surgery."7.88Rare cause of delirium and hypoxemia after coronary bypass surgery: transdermal lidocaine patch-associated methemoglobinemia. ( Acevedo, FA; Chyatte, DA; Kim, EJ; Nielsen, VG, 2018)
"The results of our study were consistent with the literature; lidocaine associated methemoglobinemia is a rare complication."7.85Methemoglobinemia incidence after the application of lidocaine for small surgical procedures. ( Akkuş, Y; Çiftçi, H; Çığşar, G; Günal, E; Kahramanca, Ş; Özdemir, M, 2017)
"We attempted to clarify this issue by comparing the clinical course of methemoglobinemia caused by dapsone and that caused by other toxic agents."7.83Difference of the clinical course and outcome between dapsone-induced methemoglobinemia and other toxic-agent-induced methemoglobinemia. ( Ahn, S; Kim, WY; Kim, YJ; Lee, JH; Lee, YS; Lim, KS; Oh, BJ; Ryoo, SM; Seo, DW; Sohn, CH, 2016)
"Prilocaine and lidocaine are classified as amide-type local anesthetics for which serious adverse effects include methemoglobinemia."7.79Prilocaine- and lidocaine-induced methemoglobinemia is caused by human carboxylesterase-, CYP2E1-, and CYP3A4-mediated metabolic activation. ( Fukami, T; Higuchi, R; Nakajima, M; Yokoi, T, 2013)
"Even though we did not measure lidocaine plasma levels, lidocaine was the most likely cause of postoperative methemoglobinemia."7.74Postoperative methemoglobinemia following infiltrative lidocaine administration for combined anesthesia in pediatric craniofacial surgery. ( Christophis, P; Heckmann, M; Howaldt, HP; Mann, V; Neuhaeuser, C; Schaaf, H; Weigand, N, 2008)
"Lidocaine use may lead to methemoglobinemia."7.71[Methemoglobinemia induced by repeated abuse of lidocaine viscous gel]. ( Borel, M; Goulle, J; Lacroix, C; Peureux, M, 2002)
" The authors conclude that EMLA is safe but not efficacious for relieving pain from heel lance in preterm infants."6.69Management of pain from heel lance with lidocaine-prilocaine (EMLA) cream: is it safe and efficacious in preterm infants? ( Aranda, J; Jack, A; Johnston, C; Koren, G; Narciso, J; Stevens, B; Stremler, R; Taddio, A, 1999)
"Methemoglobinemia is a rare condition in which the iron in hemoglobin is stabilized in the ferric (Fe(3+)) form, making it unable to bind oxygen and leading to tissue hypoxia and possibly death."6.52Lidocaine-induced methemoglobinemia: a clinical reminder. ( Barash, M; Rademaker, D; Reich, KA, 2015)
"We report a case of generalized seizures and methemoglobinemia after topical application of EMLA for curettage of molluscum contagiosum lesions in a 3."5.43Seizures and Methemoglobinemia After Topical Application of Eutectic Mixture of Lidocaine and Prilocaine on a 3.5-Year-Old Child with Molluscum Contagiosum and Atopic Dermatitis. ( Cho, YS; Chung, BY; Kim, HO; Park, CW, 2016)
" In adults, pre-TEE lidocaine anesthesia with recommended dosage results in significant increase in methemoglobin blood level, which however does not exceed normal values and does not result in clinically evident methemoglobinemia."5.42The influence of lidocaine topical anesthesia during transesophageal echocardiography on blood methemoglobin level and risk of methemoglobinemia. ( Filipiak-Strzecka, D; Kasprzak, JD; Lipiec, P; Walusiak-Skorupa, J; Wiszniewska, M, 2015)
"Methemoglobinemia is an uncommon cause of cyanosis; however, rapid diagnosis is critical to avoid potentially fatal consequences."5.31Methemoglobinemia after topical anesthesia with lidocaine and benzocaine for a difficult intubation. ( Dunn, BM; Kern, K; Langevin, PB, 2000)
"We report a patient with chronic renal failure and ischemic heart disease who developed clinically significant methemoglobinemia after an axillary block with bupivacaine and additional injection of lidocaine in the operative field."5.30Methemoglobinemia after axillary block with bupivacaine and additional injection of lidocaine in the operative field. ( Dieterich, HJ; Mühlbauer, B; Schroeder, TH, 1999)
" A dose-response relationship between benzocaine and MHb was investigated."5.28Topical anesthetic-induced methemoglobinemia in sheep: a comparison of benzocaine and lidocaine. ( Guertler, AT; Lagutchik, MS; Martin, DG, 1992)
"Lidocaine-prilocaine cream is efficacious and safe for the prevention of pain from circumcision in neonates."5.08Efficacy and safety of lidocaine-prilocaine cream for pain during circumcision. ( Ben-David, S; Craig, K; Koren, G; Mulligan, P; Rastogi, P; Shennan, A; Stevens, B; Taddio, A, 1997)
"Neonatal methemoglobinemia is a rare and potentially fatal complication of local anesthetics, particularly prilocaine, administered to the mother during childbirth."4.02[Unexplained cyanosis in two newborns: neonatal methemoglobinemia after maternal perineal infiltration of prilocaine]. ( Alers, NO; Leijten, A; Ten Brink, F; van de Laar, R; van der Heijden, HHACM; Wieland, BV, 2021)
"We present a case of a patient administered parasternal transdermal lidocaine patch therapy as part of a multimodal analgesic regime designed to diminish opioid-associated delirium after coronary bypass surgery."3.88Rare cause of delirium and hypoxemia after coronary bypass surgery: transdermal lidocaine patch-associated methemoglobinemia. ( Acevedo, FA; Chyatte, DA; Kim, EJ; Nielsen, VG, 2018)
"The results of our study were consistent with the literature; lidocaine associated methemoglobinemia is a rare complication."3.85Methemoglobinemia incidence after the application of lidocaine for small surgical procedures. ( Akkuş, Y; Çiftçi, H; Çığşar, G; Günal, E; Kahramanca, Ş; Özdemir, M, 2017)
" Topical anesthesia with benzocaine or lidocaine occasionally causes methemoglobinemia, an uncommon but potentially fatal disorder where the blood has a reduced ability to transport oxygen."3.85Characterization of the methemoglobin forming metabolites of benzocaine and lidocaine. ( Boyne, M; Colatsky, T; Hartman, N; Mans, D; Mao, J; Patel, V; Zhou, H, 2017)
"We attempted to clarify this issue by comparing the clinical course of methemoglobinemia caused by dapsone and that caused by other toxic agents."3.83Difference of the clinical course and outcome between dapsone-induced methemoglobinemia and other toxic-agent-induced methemoglobinemia. ( Ahn, S; Kim, WY; Kim, YJ; Lee, JH; Lee, YS; Lim, KS; Oh, BJ; Ryoo, SM; Seo, DW; Sohn, CH, 2016)
" Methylene blue was administered and the patient promptly responded with resolution of cyanosis."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)
" We present the case of an infant with extensive vascular malformations treated with EMLA cream who developed seizures and methemoglobinemia from lidocaine and prilocaine toxicity."3.79Seizures and methemoglobinemia in an infant after excessive EMLA application. ( Banerji, S; Kaufman, J; Larson, A; Stidham, T, 2013)
" Due to the application of EMLA(R) on the injured skin and exceeding the recommended doses of prilocaine and lidocaine the child developed symptomatic methemoglobinemia."3.75[Methemoglobin intoxication by prilocaine in EMLA. Accidental intoxication of an infant with scald injuries]. ( Book, A; Fehlandt, C; Krija, M; Pappert, D; Radke, M, 2009)
"Even though we did not measure lidocaine plasma levels, lidocaine was the most likely cause of postoperative methemoglobinemia."3.74Postoperative methemoglobinemia following infiltrative lidocaine administration for combined anesthesia in pediatric craniofacial surgery. ( Christophis, P; Heckmann, M; Howaldt, HP; Mann, V; Neuhaeuser, C; Schaaf, H; Weigand, N, 2008)
"We describe a 3-year-old child with mollusca contagiosa whose caregiver applied a eutectic mixture of 5% lidocaine and prilocaine (EMLA) in excessive amounts with the subsequent development of adverse reactions, including methemoglobinemia and hypoxemia."3.71Lidocaine and prilocaine toxicity in a patient receiving treatment for mollusca contagiosa. ( Jackson, JB; Touma, S, 2001)
"Lidocaine use may lead to methemoglobinemia."3.71[Methemoglobinemia induced by repeated abuse of lidocaine viscous gel]. ( Borel, M; Goulle, J; Lacroix, C; Peureux, M, 2002)
"These results demonstrate that if oxidant drugs (acetaminophen, phytomenadione, or EMLA cream) did not increase blood methemoglobinemia in neonatal piglets, their association with iNO caused an increase in methemoglobin."3.70Combined effects of inhaled nitric oxide (iNO) and oxidant agents on the production of methemoglobinemia in newborn piglets. ( Klosowski, S; Kongolo, G; Lequien, P; Martin-Ponthieu, A; Rakza, T; Riou, Y; Storme, L; Zerimech, F, 2000)
" Methemoglobinemia was diagnosed, due to prilocaine-lignocaine cream used for local anesthesia, associated to partial G6PD deficiency."3.69[Pulse oximetry and methemoglobinemia]. ( Cloup, M; Doz, F; Hubert, P; Jouvet, P; Moretti, S; Schleiermacher, G; Zucker, JM, 1996)
"EMLA (eutectic mixture of lidocaine and prilocaine) cream is currently not recommended for use in infants < 1 month of age because of the potential risk of methemoglobinemia as a result of the o-toluidine metabolite of prilocaine."3.69Penile absorption of EMLA cream in piglets: implications for use of EMLA in neonatal circumcision. ( Gazarian, M; Kent, G; Klein, J; Koren, G; Taddio, A, 1995)
"Phenazopyridine has been associated with methemoglobinemia in patients who have received an overdose, have decreased renal function, or are discovered to be unusually susceptible to the drug (ie, they may have an undetected NADH methemoglobin reductase deficiency)."3.68Acquired methemoglobinemia from multiple oxidants. ( Bailey, MK; Baker, JD; Conroy, JM; Dorman, BH; Martin, WJ, 1993)
" While safe and well-tolerated when used appropriately, an overdose of these anesthetics increases the risk for local anesthetic systemic toxicity (LAST), which in severe cases can present with seizures, cardiac dysrhythmias, and ultimately cardiovascular collapse."2.82Local anesthetic systemic toxicity in the pediatric patient. ( Baker, KA; McMahon, K; Paster, J, 2022)
" The authors conclude that EMLA is safe but not efficacious for relieving pain from heel lance in preterm infants."2.69Management of pain from heel lance with lidocaine-prilocaine (EMLA) cream: is it safe and efficacious in preterm infants? ( Aranda, J; Jack, A; Johnston, C; Koren, G; Narciso, J; Stevens, B; Stremler, R; Taddio, A, 1999)
"We report a case of generalized seizures and methemoglobinemia after topical application of EMLA for curettage of molluscum contagiosum lesions in a 3."1.43Seizures and Methemoglobinemia After Topical Application of Eutectic Mixture of Lidocaine and Prilocaine on a 3.5-Year-Old Child with Molluscum Contagiosum and Atopic Dermatitis. ( Cho, YS; Chung, BY; Kim, HO; Park, CW, 2016)
"Methemoglobinemia is an uncommon cause of tissue hypoxemia that can be life-threatening if not promptly identified and treated."1.33Methemoglobinemia after transesophageal echocardiography: a life-threatening complication. ( Glick, N; Jacka, MJ; Kruger, M, 2006)
"Methemoglobinemia is an uncommon cause of cyanosis; however, rapid diagnosis is critical to avoid potentially fatal consequences."1.31Methemoglobinemia after topical anesthesia with lidocaine and benzocaine for a difficult intubation. ( Dunn, BM; Kern, K; Langevin, PB, 2000)
"We report a patient with chronic renal failure and ischemic heart disease who developed clinically significant methemoglobinemia after an axillary block with bupivacaine and additional injection of lidocaine in the operative field."1.30Methemoglobinemia after axillary block with bupivacaine and additional injection of lidocaine in the operative field. ( Dieterich, HJ; Mühlbauer, B; Schroeder, TH, 1999)
"Mild methemoglobinemia is a known side-effect of one of the constituents of EMLA cream, this topical local anesthetic is used with great caution in neonates."1.29[Use of EMLA cream in premature and full-term newborn infants. Study of efficacy and tolerance]. ( Dhabhi, S; el Hanache, A; Gourrier, E; Karoubi, P; Leraillez, J; Merbouche, S; Mouchnino, G, 1995)
"Because toxic methemoglobinemia is easily treated, our report emphasizes the need to recognize this problem when topically applied anesthetic sprays are used."1.29Methemoglobinemia from topically applied anesthetic spray. ( Dinneen, SF; Fairbanks, VF; Mohr, DN, 1994)
" A dose-response relationship between benzocaine and MHb was investigated."1.28Topical anesthetic-induced methemoglobinemia in sheep: a comparison of benzocaine and lidocaine. ( Guertler, AT; Lagutchik, MS; Martin, DG, 1992)
"A patient with the acquired immunodeficiency syndrome (AIDS) developed severe cyanosis after bronchoscopy (oxygen saturation 34%) from methaemoglobinaemia."1.28Severe methaemoglobinaemia after flexible fibreoptic bronchoscopy. ( Casey, MP; Hansen-Flaschen, J; Kotler, RL, 1989)

Research

Studies (102)

TimeframeStudies, this research(%)All Research%
pre-199025 (24.51)18.7374
1990's25 (24.51)18.2507
2000's25 (24.51)29.6817
2010's21 (20.59)24.3611
2020's6 (5.88)2.80

Authors

AuthorsStudies
McMahon, K1
Paster, J1
Baker, KA1
Khajavirad, N1
Daftari, G1
Jelodar, MR1
Woo, NL1
Cherian, S1
Heaney, M1
Wahl, G1
Rosso, CD1
Thomas, A1
Hardy, N1
Connelly, S1
Davila, U1
Pearce, J1
Mazor, S1
Burns, R1
Thraenert, BG1
Wiste, J1
Cousins, NL1
Hoehn, SM1
Carroll, A1
Bremer, ML1
Thaden, JT1
Mankad, SV1
Kane, GC1
Wieland, BV1
Leijten, A1
van der Heijden, HHACM1
van de Laar, R1
Ten Brink, F1
Alers, NO1
Acevedo, FA1
Kim, EJ1
Chyatte, DA1
Nielsen, VG1
Günal, E1
Akkuş, Y1
Çığşar, G1
Çiftçi, H1
Kahramanca, Ş1
Özdemir, M1
Larson, A1
Stidham, T1
Banerji, S1
Kaufman, J1
Higuchi, R1
Fukami, T1
Nakajima, M1
Yokoi, T1
Wieman, MS1
Bertarelli, DC1
Brockbals, C1
Weingarten, TN2
Sprung, J2
Selder, J1
Veenstra, J1
Gutenberg, LL1
Chen, JW1
Trapp, L2
Shamriz, O1
Cohen-Glickman, I1
Reif, S1
Shteyer, E1
Hartman, NR1
Mao, JJ1
Zhou, H2
Boyne, MT1
Wasserman, AM1
Taylor, K1
Racoosin, JA1
Patel, V2
Colatsky, T2
Spiller, HA1
Russell, JL1
Casavant, MJ1
Ho, RY1
Gerona, RR1
Barash, M1
Reich, KA1
Rademaker, D1
Filipiak-Strzecka, D1
Kasprzak, JD1
Wiszniewska, M1
Walusiak-Skorupa, J1
Lipiec, P1
Hartman, N1
Mao, J1
Mans, D1
Boyne, M1
Cho, YS1
Chung, BY1
Park, CW1
Kim, HO1
Kim, YJ1
Sohn, CH1
Ryoo, SM1
Ahn, S1
Seo, DW1
Lee, YS1
Lee, JH1
Oh, BJ1
Lim, KS1
Kim, WY1
Bohnhorst, B1
Hartmann, H1
Lange, M1
Moreno Higueras, M1
López Robles, MC1
Giner Escobar, MP1
Cantero Hinojosa, J1
Book, A1
Fehlandt, C1
Krija, M1
Radke, M1
Pappert, D1
Guay, J1
Will, J1
Sambrook, PJ1
Smith, W1
Elijah, J1
Goss, AN1
Gleich, SJ1
Craig, JR1
Schmitt, C1
Matulic, M1
Kervégant, M1
Tichadou, L1
Boutin, A1
Glaizal, M1
de Haro, L1
Sinisterra, S1
Miravet, E1
Alfonso, I1
Soliz, A1
Papazian, O1
Picton, P1
Wilkins, AN1
DEAS, TC1
SCOTT, DB2
OWEN, JA1
RICHMOND, J1
BURNE, D1
DOUGHTY, A1
HJELM, M2
HOLMDAHL, MH2
ASTROEM, A1
Hahn, IH1
Hoffman, RS1
Nelson, LS1
Maran, J1
Guan, Y1
Ou, CN1
Prchal, JT1
Pérez-Caballero Macarrón, C1
Pérez Palomino, A1
Moreno Fernández, L1
Paparella, S1
Jacka, MJ1
Kruger, M1
Glick, N1
Gutta, R1
Louis, PJ1
Elsaie, ML1
Neuhaeuser, C1
Weigand, N1
Schaaf, H1
Mann, V1
Christophis, P1
Howaldt, HP1
Heckmann, M1
Shachor-Meyouhas, Y1
Galbraith, R1
Shavit, I1
O'Donohue, WJ1
Moss, LM1
Angelillo, VA1
Gourrier, E3
Leraillez, J3
Boudreau, GA1
Nioloux, C1
Floch-Tudal, C1
Jaby-Sergent, MP1
Lejeune, C1
Dinneen, SF1
Mohr, DN1
Fairbanks, VF1
Conroy, JM1
Baker, JD1
Martin, WJ1
Bailey, MK1
Dorman, BH1
Karoubi, P2
el Hanache, A2
Merbouche, S2
Mouchnino, G2
Dhabhi, S1
Litman, SJ1
Vitkun, SA1
Poppers, PJ2
Moretti, S1
Jouvet, P1
Schleiermacher, G1
Hubert, P1
Doz, F1
Zucker, JM1
Cloup, M1
Gazarian, M1
Taddio, A3
Klein, J1
Kent, G1
Koren, G3
Puthoff, TD1
Visconti, JA1
Tschampel, MM1
Law, RM1
Halpern, S1
Martins, RF1
Reich, H1
Innanen, V1
Ohlsson, A1
Stevens, B2
Craig, K1
Rastogi, P1
Ben-David, S1
Shennan, A1
Mulligan, P1
Kumar, AR1
Dunn, N1
Naqvi, M1
Elsner, P1
Dummer, R1
Capron, F1
Perry, D1
Capolaghi, B1
Schroeder, TH1
Dieterich, HJ1
Mühlbauer, B1
Johnston, C1
Jack, A1
Narciso, J1
Stremler, R1
Aranda, J1
Frey, B1
Kehrer, B1
Riou, Y1
Storme, L1
Klosowski, S1
Rakza, T1
Kongolo, G1
Zerimech, F1
Martin-Ponthieu, A1
Lequien, P1
Kern, K1
Langevin, PB1
Dunn, BM1
Couper, RT1
Touma, S1
Jackson, JB1
Lorelli, DR1
Morris, DE1
Lewis, JW1
Karim, A1
Ahmed, S1
Siddiqui, R1
Mattana, J1
Baraka, AS1
Ayoub, CM1
Kaddoum, RN1
Maalouli, JM1
Chehab, IR1
Hadi, UM1
Friedman, PM1
Mafong, EA1
Friedman, ES1
Geronemus, RG1
Voelker, CA1
Brown, L1
Hinson, RM1
Lacroix, C1
Peureux, M1
Borel, M1
Goulle, J1
Guertler, AT1
Lagutchik, MS1
Martin, DG1
Radford, M1
Pinder, AM1
Nilsson, A3
Engberg, G2
Henneberg, S2
Danielson, K2
De Verdier, CH1
Hansen-Flaschen, J2
Frayling, IM1
Addison, GM1
Chattergee, K1
Meakin, G1
Kotler, RL1
Casey, MP1
Bader, AM1
Concepcion, M1
Hurley, RJ1
Arthur, GR1
Foxworth, JW1
Roberts, JA1
Mahmoud, SF1
Weiss, LD1
Generalovich, T1
Heller, MB1
Paris, PM1
Stewart, RD1
Kaplan, RM1
Thompson, DR1
Konietzke, D1
Leyser, KH1
Lanz, E1
Jakobson, B1
Eriksson, E1
Harris, WH2
Geddes, IC1
Dudley, AG1
Conrad, LL1
Markham, SM1
Epstein, BS1
Coakley, CS1
Barter, RH1
Chamberlain, G1
Usubiaga, JE1
La Iuppa, M1
Moya, F1
Wikinski, JA1
Velazco, R1
Truant, AP1
Slater, EM1
Bell, HM1
Vosburgh, GJ1
Finster, M1

Clinical Trials (6)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Methemoglobin Levels in Generally Anesthetized Pediatric Dental Patients Receiving Prilocaine Versus Lidocaine[NCT01402869]91 participants (Actual)Interventional2011-08-31Completed
Fractional Carbon Dioxide Laser Assisted Delivery of Topical Anesthetics: a Randomized Controlled Pilot Study[NCT02246179]Phase 410 participants (Actual)Interventional2014-09-30Completed
Parameters in Fractional Laser Assisted Delivery of Topical Anesthetics: Role of Anesthetic and Application Time[NCT03279757]Phase 415 participants (Actual)Interventional2016-10-01Completed
Parameters in Fractional Laser Assisted Delivery of Topical Anesthetics: Role of Laser Type and Laser Settings[NCT02938286]Phase 415 participants (Actual)Interventional2016-03-31Completed
Does Use of Lidocaine Spray on an Endoscope Immediately Before Insertion Improve Patient Tolerance to Endoscopy? A Single Center, Case-Control Study.[NCT02307773]497 participants (Actual)Observational2013-11-30Completed
Antipruritic Effect of Topical Ketamine, Amitriptyline, and Lidocaine[NCT03096444]Phase 213 participants (Actual)Interventional2017-05-23Terminated (stopped due to Efficacy was not seen after interim analysis)
[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

Peak Itch Intensity Between the Vehicle and Active Treatments (Individual and KeAmLi-combo).

"Peak itch intensity between the vehicle and 4 other active treatments (individual ketamine, amitriptyline, or lidocaine, and KeAmLi-combo). Itch intensity was measured on a 100mm scale visual analog scale for 10 minutes. 0 was weighted with no itch and 100 was weighted with most itch imaginable." (NCT03096444)
Timeframe: 10 minutes

InterventionIntensity score (Mean)
Topical KeAmLi Combo62.7
Topical Ketamine63.1
Topical Amitriptyline69.2
Topical Lidocaine65.8
Topical Vehicle61.9

Mechanical Thresholds (Mechanical Detection and Pain).

Assess mechanical detection and pain thresholds using von Frey filaments stimulators (measured in force mN) to calculate the final threshold as the geometric mean of five series of ascending and descending stimuli. (NCT03096444)
Timeframe: 5 minutes

,,,,
InterventionmN (Mean)
Mechanical Detection ThresholdMechanical Pain Threshold
Topical Amitriptyline3.573423965152.4768146
Topical KeAmLi Combo3.519376956152.3293608
Topical Ketamine3.464204768135.9
Topical Lidocaine3.546037659126.9
Topical Vehicle3.525692637148.7138273

Thermal Threshold Detection (Warmth and Heat Pain)

Two standardized quantitative sensory tests are performed to measure warmth detection threshold (assesses the threshold of which warmth sensation is first detected) and heat pain threshold (assesses the threshold at which heat pain sensation is first detected). Measured in change in celsius. (NCT03096444)
Timeframe: 3 minutes

,,,,
InterventionDegrees celsius (Mean)
Warm Detection ThresholdHeat Pain Threshold
Topical Amitriptyline33.940.0
Topical KeAmLi Combo33.639.8
Topical Ketamine34.040.0
Topical Lidocaine33.739.4
Topical Vehicle33.839.7

Reviews

6 reviews available for lidocaine and Methemoglobinemia

ArticleYear
Local anesthetic systemic toxicity in the pediatric patient.
    The American journal of emergency medicine, 2022, Volume: 54

    Topics: Anesthetics, Local; Child; Female; Humans; Infant; Lidocaine; Lidocaine, Prilocaine Drug Combination

2022
Methemoglobinemia induced by lidocaine-prilocaine cream.
    The Israel Medical Association journal : IMAJ, 2014, Volume: 16, Issue:4

    Topics: Anesthetics, Combined; Anesthetics, Local; Child; Cyanosis; Enzyme Inhibitors; Female; Humans; Lidoc

2014
Lidocaine-induced methemoglobinemia: a clinical reminder.
    The Journal of the American Osteopathic Association, 2015, Volume: 115, Issue:2

    Topics: Anesthetics, Local; Hemoglobins; Humans; Lidocaine; Methemoglobinemia; Oxidants

2015
Methemoglobinemia related to local anesthetics: a summary of 242 episodes.
    Anesthesia and analgesia, 2009, Volume: 108, Issue:3

    Topics: Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Anemia; Anesthetics, Local; Benzocaine; Chi

2009
Acquired methemoglobinemia revisited.
    Dental clinics of North America, 2010, Volume: 54, Issue:4

    Topics: Anesthesia, Dental; Anesthetics, Combined; Anesthetics, Local; Benzocaine; Enzyme Inhibitors; Hemogl

2010
Topical anesthetic sprays directly associated with a serious, sometimes fatal adverse drug reaction: methemoglobinemia.
    Journal of emergency nursing, 2005, Volume: 31, Issue:5

    Topics: Administration, Topical; Aerosols; Anesthetics, Local; Benzocaine; Dose-Response Relationship, Drug;

2005

Trials

7 trials available for lidocaine and Methemoglobinemia

ArticleYear
Methemoglobin levels in generally anesthetized pediatric dental patients receiving prilocaine versus lidocaine.
    Anesthesia progress, 2013,Fall, Volume: 60, Issue:3

    Topics: Analysis of Variance; Anesthesia, Dental; Anesthesia, General; Anesthetics, Local; Chi-Square Distri

2013
Efficacy and safety of lidocaine-prilocaine cream for pain during circumcision.
    The New England journal of medicine, 1997, Apr-24, Volume: 336, Issue:17

    Topics: Anesthesia, Local; Anesthetics, Local; Circumcision, Male; Crying; Double-Blind Method; Drug Combina

1997
Use of EMLA cream in a department of neonatology.
    Pain, 1996, Volume: 68, Issue:2-3

    Topics: Anesthetics, Local; Drug Combinations; Drug Eruptions; Drug Hypersensitivity; Hospital Departments;

1996
Management of pain from heel lance with lidocaine-prilocaine (EMLA) cream: is it safe and efficacious in preterm infants?
    Journal of developmental and behavioral pediatrics : JDBP, 1999, Volume: 20, Issue:4

    Topics: Anesthetics, Combined; Anesthetics, Local; Heel; Humans; Infant, Newborn; Infant, Premature; Lidocai

1999
[Comparison of prilocaine 2% versus lidocaine 2% with adrenaline in peridural anesthesia. A clinical double-blind study].
    Regional-Anaesthesie, 1985, Volume: 8, Issue:4

    Topics: Adult; Analgesia; Anesthesia, Epidural; Clinical Trials as Topic; Double-Blind Method; Epinephrine;

1985
Review of the properties of two new local anaesthetics, prilocaine and lidocaine.
    Acta anaesthesiologica Scandinavica. Supplementum, 1966, Volume: 25

    Topics: Adjuvants, Anesthesia; Anesthesia, Local; Anesthesia, Spinal; Animals; Brain; Clinical Trials as Top

1966
Choice of anesthetic agents for intravenous regional anesthesia.
    Acta anaesthesiologica Scandinavica. Supplementum, 1969, Volume: 36

    Topics: Anesthesia, Conduction; Anesthesia, Intravenous; Benzoates; Central Nervous System; Clinical Trials

1969

Other Studies

89 other studies available for lidocaine and Methemoglobinemia

ArticleYear
Hemolysis and acquired methemoglobinemia associated with lidocaine and benzocaine topical application: a case report.
    Journal of medical case reports, 2023, Apr-20, Volume: 17, Issue:1

    Topics: Adult; Anesthetics, Local; Benzocaine; Hemolysis; Humans; Lidocaine; Male; Methemoglobinemia; Methyl

2023
Methaemoglobinaemia secondary to topical prilocaine toxicity: A cautionary circumcision tale.
    Journal of paediatrics and child health, 2021, Volume: 57, Issue:1

    Topics: Anesthetics, Local; Circumcision, Male; Humans; Lidocaine; Male; Methemoglobinemia; Prilocaine

2021
Pediatric Toxidrome Simulation Curriculum: Lidocaine-Induced Methemoglobinemia.
    MedEdPORTAL : the journal of teaching and learning resources, 2021, 01-28, Volume: 17

    Topics: Computer Simulation; Curriculum; Humans; Infant; Lidocaine; Male; Methemoglobinemia; Pediatric Emerg

2021
Nursing Staff Administered Topical Lidocaine Anesthesia in Transesophageal Echocardiography: Impact on Quality, Delivery of Care, and the Rates of Methemoglobinemia.
    Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography, 2021, Volume: 34, Issue:7

    Topics: Anesthesia; Echocardiography, Transesophageal; Humans; Lidocaine; Methemoglobinemia; Nursing Staff

2021
[Unexplained cyanosis in two newborns: neonatal methemoglobinemia after maternal perineal infiltration of prilocaine].
    Nederlands tijdschrift voor geneeskunde, 2021, 07-01, Volume: 165

    Topics: Anesthetics, Local; Cyanosis; Humans; Infant, Newborn; Lidocaine; Methemoglobinemia; Prilocaine

2021
Rare cause of delirium and hypoxemia after coronary bypass surgery: transdermal lidocaine patch-associated methemoglobinemia.
    International journal of legal medicine, 2018, Volume: 132, Issue:3

    Topics: Aged, 80 and over; Anesthetics, Local; Coronary Artery Bypass; Delirium; Humans; Hypoxia; Lidocaine;

2018
Methemoglobinemia incidence after the application of lidocaine for small surgical procedures.
    Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology, 2017, Volume: 29, Issue:4

    Topics: Adult; Anesthetics, Local; Cross-Sectional Studies; Emergencies; Female; Hospitals, University; Huma

2017
Seizures and methemoglobinemia in an infant after excessive EMLA application.
    Pediatric emergency care, 2013, Volume: 29, Issue:3

    Topics: Administration, Topical; Anesthetics, Local; Diagnosis, Differential; Female; Humans; Infant; Lidoca

2013
Prilocaine- and lidocaine-induced methemoglobinemia is caused by human carboxylesterase-, CYP2E1-, and CYP3A4-mediated metabolic activation.
    Drug metabolism and disposition: the biological fate of chemicals, 2013, Volume: 41, Issue:6

    Topics: Adult; Animals; Carboxylesterase; Cytochrome P-450 CYP2E1; Cytochrome P-450 CYP3A; Down-Regulation;

2013
Response to Weingarten, "Methemoglobinemia in the setting of chronic transdermal lidocaine patch use," Pain Medicine 2012.
    Pain medicine (Malden, Mass.), 2013, Volume: 14, Issue:5

    Topics: Female; Humans; Lidocaine; Methemoglobinemia; Transdermal Patch

2013
Response to letter by dr. Wieman.
    Pain medicine (Malden, Mass.), 2013, Volume: 14, Issue:5

    Topics: Female; Humans; Lidocaine; Methemoglobinemia; Transdermal Patch

2013
[Methaemoglobinaemia after using EMLA cream].
    Nederlands tijdschrift voor geneeskunde, 2013, Volume: 157, Issue:29

    Topics: Analgesics; Anesthetics, Combined; Anesthetics, Local; Blood Gas Analysis; Female; Humans; Lidocaine

2013
More methemoglobin is produced by benzocaine treatment than lidocaine treatment in human in vitro systems.
    Regulatory toxicology and pharmacology : RTP, 2014, Volume: 70, Issue:1

    Topics: Anesthetics, Local; Aniline Compounds; Benzocaine; Cytochrome P-450 Enzyme System; Humans; In Vitro

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
The influence of lidocaine topical anesthesia during transesophageal echocardiography on blood methemoglobin level and risk of methemoglobinemia.
    The international journal of cardiovascular imaging, 2015, Volume: 31, Issue:4

    Topics: Administration, Cutaneous; Aged; Anesthesia, Local; Anesthetics, Local; Biomarkers; Echocardiography

2015
Characterization of the methemoglobin forming metabolites of benzocaine and lidocaine.
    Xenobiotica; the fate of foreign compounds in biological systems, 2017, Volume: 47, Issue:5

    Topics: Acetaminophen; Anesthetics, Local; Benzocaine; Humans; Lidocaine; Methemoglobin; Methemoglobinemia

2017
Seizures and Methemoglobinemia After Topical Application of Eutectic Mixture of Lidocaine and Prilocaine on a 3.5-Year-Old Child with Molluscum Contagiosum and Atopic Dermatitis.
    Pediatric dermatology, 2016, Volume: 33, Issue:5

    Topics: Administration, Topical; Anesthetics, Local; Child, Preschool; Dermatitis, Atopic; Female; Humans; L

2016
Difference of the clinical course and outcome between dapsone-induced methemoglobinemia and other toxic-agent-induced methemoglobinemia.
    Clinical toxicology (Philadelphia, Pa.), 2016, Volume: 54, Issue:7

    Topics: Adult; Aged; Aged, 80 and over; Case-Control Studies; Dapsone; Dose-Response Relationship, Drug; Dru

2016
Severe methemoglobinemia caused by continuous lidocaine infusion in a term neonate.
    European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society, 2017, Volume: 21, Issue:3

    Topics: Anesthetics, Local; Female; Humans; Infant, Newborn; Infusions, Intravenous; Lidocaine; Methemoglobi

2017
[Methemoglobinemia induced by local anesthetic administration previous to laser depilation].
    Medicina clinica, 2008, Jul-05, Volume: 131, Issue:5

    Topics: Adult; Anesthetics, Local; Female; Hair Removal; Humans; Lasers; Lidocaine; Methemoglobinemia; Prilo

2008
[Methemoglobin intoxication by prilocaine in EMLA. Accidental intoxication of an infant with scald injuries].
    Der Anaesthesist, 2009, Volume: 58, Issue:4

    Topics: Administration, Topical; Anesthetics, Local; Bandages; Burns; Cyanosis; Diagnosis, Differential; Hum

2009
Severe adverse reactions to dental local anaesthetics: systemic reactions.
    Australian dental journal, 2011, Volume: 56, Issue:2

    Topics: Adolescent; Adult; Adverse Drug Reaction Reporting Systems; Aged; Aged, 80 and over; Anesthesia, Den

2011
Methemoglobinemia in the setting of chronic transdermal lidocaine patch use.
    Pain medicine (Malden, Mass.), 2012, Volume: 13, Issue:7

    Topics: Administration, Topical; Anesthetics, Local; Female; Humans; Lidocaine; Methemoglobinemia; Middle Ag

2012
[Methaemoglobinaemia in a child treated with Emla(®) cream: circumstances and consequences of overdose].
    Annales de dermatologie et de venereologie, 2012, Volume: 139, Issue:12

    Topics: Anesthetics, Combined; Child, Preschool; Dosage Forms; Drug Overdose; Female; Humans; Lidocaine; Lid

2012
Methemoglobinemia in an infant receiving nitric oxide after the use of eutectic mixture of local anesthetic.
    The Journal of pediatrics, 2002, Volume: 141, Issue:2

    Topics: Administration, Inhalation; Anesthetics, Combined; Anesthetics, Local; Female; Humans; Infant; Lidoc

2002
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
Severe methemoglobinemia following dental extractions under lidocaine anesthesia.
    Anesthesiology, 1956, Volume: 17, Issue:1

    Topics: Analgesia; Anesthesia; Anesthesia and Analgesia; Anesthetics; Anesthetics, Local; Humans; Lidocaine;

1956
METHAEMOGLOBINAEMIA DUE TO PRILOCAINE.
    Lancet (London, England), 1964, Oct-03, Volume: 2, Issue:7362

    Topics: Anesthetics; Anesthetics, Local; Cyanosis; Humans; Lidocaine; Methemoglobinemia; Prilocaine; Toxicol

1964
METHAEMOGLOBINAEMIA FOLLOWING LIGNOCAINE.
    Lancet (London, England), 1964, Oct-31, Volume: 2, Issue:7366

    Topics: Anesthesia; Anesthesia, Obstetrical; Anesthesia, Spinal; Anesthesiology; Humans; Lidocaine; Methemog

1964
METHAEMOGLOBINAEMIA FOLLOWING LIGNOCAINE.
    Lancet (London, England), 1965, Jan-02, Volume: 1, Issue:7375

    Topics: Anesthetics; Anesthetics, Local; Humans; Lidocaine; Methemoglobinemia; Methylene Blue; Procaine; Tox

1965
RECENT ADVANCES IN LOCAL ANALGESIA. SOME PHARMACOLOGICAL PROPERTIES DETERMINING ACTION AND TOXICITY OF LOCAL ANAESTHETICS.
    Proceedings of the Royal Society of Medicine, 1965, Volume: 58

    Topics: Analgesia; Anesthesia, Local; Anesthetics; Anesthetics, Local; Animals; Anura; Central Nervous Syste

1965
RECENT ADVANCES IN LOCAL ANALGESIA. TOXICITY AND CLINICAL USE OF PILOCAINE.
    Proceedings of the Royal Society of Medicine, 1965, Volume: 58

    Topics: Analgesia; Anesthesia; Anesthesia, Conduction; Anesthesia, Spinal; Anesthetics; Anesthetics, Local;

1965
BIOCHEMICAL EFFECTS OF AROMATIC AMINES. II. CYANOSIS, METHAEMOGLOBINAEMIA AND HEINZ-BODY FORMATION INDUCED BY A LOCAL ANAESTHETIC AGENT (PRILOCAINE).
    Acta anaesthesiologica Scandinavica, 1965, Volume: 9

    Topics: Alanine Transaminase; Amines; Anesthesia, Local; Anesthetics, Local; Bilirubin; Blood; Creatine; Cre

1965
EMLA-induced methemoglobinemia and systemic topical anesthetic toxicity.
    The Journal of emergency medicine, 2004, Volume: 26, Issue:1

    Topics: Adult; Anesthetics, Local; Female; Humans; Lidocaine; Lidocaine, Prilocaine Drug Combination; Methem

2004
EMLA-induced methemoglobinemia and systemic topical anesthetic toxicity.
    The Journal of emergency medicine, 2004, Volume: 26, Issue:1

    Topics: Adult; Anesthetics, Local; Female; Humans; Lidocaine; Lidocaine, Prilocaine Drug Combination; Methem

2004
EMLA-induced methemoglobinemia and systemic topical anesthetic toxicity.
    The Journal of emergency medicine, 2004, Volume: 26, Issue:1

    Topics: Adult; Anesthetics, Local; Female; Humans; Lidocaine; Lidocaine, Prilocaine Drug Combination; Methem

2004
EMLA-induced methemoglobinemia and systemic topical anesthetic toxicity.
    The Journal of emergency medicine, 2004, Volume: 26, Issue:1

    Topics: Adult; Anesthetics, Local; Female; Humans; Lidocaine; Lidocaine, Prilocaine Drug Combination; Methem

2004
EMLA-induced methemoglobinemia and systemic topical anesthetic toxicity.
    The Journal of emergency medicine, 2004, Volume: 26, Issue:1

    Topics: Adult; Anesthetics, Local; Female; Humans; Lidocaine; Lidocaine, Prilocaine Drug Combination; Methem

2004
EMLA-induced methemoglobinemia and systemic topical anesthetic toxicity.
    The Journal of emergency medicine, 2004, Volume: 26, Issue:1

    Topics: Adult; Anesthetics, Local; Female; Humans; Lidocaine; Lidocaine, Prilocaine Drug Combination; Methem

2004
EMLA-induced methemoglobinemia and systemic topical anesthetic toxicity.
    The Journal of emergency medicine, 2004, Volume: 26, Issue:1

    Topics: Adult; Anesthetics, Local; Female; Humans; Lidocaine; Lidocaine, Prilocaine Drug Combination; Methem

2004
EMLA-induced methemoglobinemia and systemic topical anesthetic toxicity.
    The Journal of emergency medicine, 2004, Volume: 26, Issue:1

    Topics: Adult; Anesthetics, Local; Female; Humans; Lidocaine; Lidocaine, Prilocaine Drug Combination; Methem

2004
EMLA-induced methemoglobinemia and systemic topical anesthetic toxicity.
    The Journal of emergency medicine, 2004, Volume: 26, Issue:1

    Topics: Adult; Anesthetics, Local; Female; Humans; Lidocaine; Lidocaine, Prilocaine Drug Combination; Methem

2004
Heterogeneity of the molecular biology of methemoglobinemia: a study of eight consecutive patients.
    Haematologica, 2005, Volume: 90, Issue:5

    Topics: Amino Acid Substitution; Cytochrome-B(5) Reductase; DNA Mutational Analysis; Female; Humans; Introns

2005
[Probable methemoglobinemia following EMLA administration].
    Anales de pediatria (Barcelona, Spain : 2003), 2005, Volume: 63, Issue:2

    Topics: Anesthetics, Local; Child; Female; Humans; Lidocaine; Lidocaine, Prilocaine Drug Combination; Methem

2005
Methemoglobinemia after transesophageal echocardiography: a life-threatening complication.
    Journal of clinical anesthesia, 2006, Volume: 18, Issue:1

    Topics: Adult; Anesthetics, Local; Benzocaine; Echocardiography, Transesophageal; Female; Humans; Lidocaine;

2006
Methemoglobinemia--an unusual cause of intraoperative hypoxia.
    Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics, 2007, Volume: 103, Issue:2

    Topics: Administration, Topical; Adult; Aerosols; Anesthesia, Dental; Anesthetics, Combined; Anesthetics, Lo

2007
Cardiovascular collapse developing after topical anesthesia.
    Dermatology (Basel, Switzerland), 2007, Volume: 214, Issue:2

    Topics: Administration, Topical; Adult; Anesthetics, Local; Arrhythmias, Cardiac; Cardiovascular System; Fem

2007
Postoperative methemoglobinemia following infiltrative lidocaine administration for combined anesthesia in pediatric craniofacial surgery.
    Paediatric anaesthesia, 2008, Volume: 18, Issue:2

    Topics: Anesthesia, General; Anesthetics, Combined; Anesthetics, Local; Craniofacial Abnormalities; Female;

2008
Application of topical analgesia in triage: a potential for harm.
    The Journal of emergency medicine, 2008, Volume: 35, Issue:1

    Topics: Administration, Topical; Anesthetics, Local; Emergency Nursing; Enzyme Inhibitors; Female; Humans; I

2008
Acute methemoglobinemia induced by topical benzocaine and lidocaine.
    Archives of internal medicine, 1980, Volume: 140, Issue:11

    Topics: Adult; Benzocaine; Humans; Lidocaine; Male; Methemoglobinemia

1980
[Risk of methemoglobinemia after Emla application in premature infants].
    Archives de pediatrie : organe officiel de la Societe francaise de pediatrie, 1995, Volume: 2, Issue:10

    Topics: Anesthetics, Local; Drug Combinations; Humans; Infant, Newborn; Infant, Premature; Lidocaine; Lidoca

1995
EMLA's safety for small infants.
    The American journal of nursing, 1995, Volume: 95, Issue:8

    Topics: Anesthetics, Local; Drug Combinations; Humans; Infant; Infant, Newborn; Lidocaine; Lidocaine, Priloc

1995
[Local anesthesia with Emla cream and risk of methemoglobinemia in a premature infant].
    Archives de pediatrie : organe officiel de la Societe francaise de pediatrie, 1995, Volume: 2, Issue:3

    Topics: Anesthetics, Local; Dose-Response Relationship, Drug; Drug Combinations; Humans; Infant, Newborn; In

1995
Methemoglobinemia from topically applied anesthetic spray.
    Mayo Clinic proceedings, 1994, Volume: 69, Issue:9

    Topics: Administration, Topical; Aged; Aged, 80 and over; Anesthetics, Local; Benzocaine; Female; Humans; Li

1994
Acquired methemoglobinemia from multiple oxidants.
    Southern medical journal, 1993, Volume: 86, Issue:10

    Topics: Administration, Topical; Adult; Analgesia, Epidural; Blood Gas Analysis; Bupivacaine; Cytochrome-B(5

1993
[Use of EMLA cream in premature and full-term newborn infants. Study of efficacy and tolerance].
    Archives de pediatrie : organe officiel de la Societe francaise de pediatrie, 1995, Volume: 2, Issue:11

    Topics: Administration, Cutaneous; Anesthetics, Local; Dose-Response Relationship, Drug; Drug Combinations;

1995
Use of EMLA cream in the treatment of post-herpetic neuralgia.
    Journal of clinical anesthesia, 1996, Volume: 8, Issue:1

    Topics: Administration, Topical; Aged; Anesthetics, Local; Drug Combinations; Female; Herpesviridae Infectio

1996
[Pulse oximetry and methemoglobinemia].
    Archives de pediatrie : organe officiel de la Societe francaise de pediatrie, 1996, Volume: 3, Issue:3

    Topics: Anesthetics, Local; Blood Gas Monitoring, Transcutaneous; Child, Preschool; Drug Combinations; Human

1996
Penile absorption of EMLA cream in piglets: implications for use of EMLA in neonatal circumcision.
    Biology of the neonate, 1995, Volume: 68, Issue:5

    Topics: Absorption; Anesthetics, Local; Animals; Animals, Newborn; Circumcision, Male; Cross-Over Studies; D

1995
Use of Emla prior to circumcision.
    The Annals of pharmacotherapy, 1996, Volume: 30, Issue:11

    Topics: Anesthetics, Local; Circumcision, Male; Drug Combinations; Humans; Infant, Newborn; Lidocaine; Lidoc

1996
Measurement of methemoglobin after EMLA analgesia for newborn circumcision.
    Biology of the neonate, 1996, Volume: 70, Issue:4

    Topics: Analgesia; Anesthetics, Local; Circumcision, Male; Drug Combinations; Humans; Infant, Newborn; Lidoc

1996
Methemoglobinemia associated with a prilocaine-lidocaine cream.
    Clinical pediatrics, 1997, Volume: 36, Issue:4

    Topics: Anesthetics, Local; Circumcision, Male; Drug Combinations; Humans; Infant, Newborn; Lidocaine; Lidoc

1997
Signs of methaemoglobinaemia after topical application of EMLA cream in an infant with haemangioma.
    Dermatology (Basel, Switzerland), 1997, Volume: 195, Issue:2

    Topics: Anesthesia, Local; Anesthetics, Combined; Female; Hemangioma; Humans; Infant, Newborn; Lidocaine; Li

1997
[Convulsive crisis and methemoglobinemia after the application of anesthetic cream].
    Archives de pediatrie : organe officiel de la Societe francaise de pediatrie, 1998, Volume: 5, Issue:7

    Topics: Anesthetics, Combined; Anesthetics, Local; Child, Preschool; Eczema; Female; Humans; Lidocaine; Lido

1998
Methemoglobinemia after axillary block with bupivacaine and additional injection of lidocaine in the operative field.
    Acta anaesthesiologica Scandinavica, 1999, Volume: 43, Issue:4

    Topics: Acidosis; Alkalies; Anesthetics, Local; Antidotes; Axilla; Bupivacaine; Drug Interactions; Female; H

1999
Toxic methaemoglobin concentrations in premature infants after application of a prilocaine-containing cream and peridural prilocaine.
    European journal of pediatrics, 1999, Volume: 158, Issue:10

    Topics: Anesthesia, Caudal; Anesthetics, Local; Humans; Infant, Newborn; Infant, Premature; Infant, Prematur

1999
Combined effects of inhaled nitric oxide (iNO) and oxidant agents on the production of methemoglobinemia in newborn piglets.
    Critical care medicine, 2000, Volume: 28, Issue:4

    Topics: Acetaminophen; Administration, Inhalation; Animals; Animals, Newborn; Drug Evaluation, Preclinical;

2000
Methemoglobinemia after topical anesthesia with lidocaine and benzocaine for a difficult intubation.
    Journal of clinical anesthesia, 2000, Volume: 12, Issue:2

    Topics: Adult; Anesthesia, Local; Anesthetics, Local; Benzocaine; Carbon Dioxide; Enzyme Inhibitors; Female;

2000
Methaemoglobinaemia secondary to topical lignocaine/ prilocaine in a circumcised neonate.
    Journal of paediatrics and child health, 2000, Volume: 36, Issue:4

    Topics: Anesthetics, Combined; Anesthetics, Local; Circumcision, Male; Humans; Infant, Newborn; Lidocaine; L

2000
Lidocaine + prilocaine before 3 months of age: new indication. Correct use is crucial.
    Prescrire international, 2000, Volume: 9, Issue:47

    Topics: Administration, Cutaneous; Age Factors; Blood Specimen Collection; Circumcision, Male; Drug Therapy,

2000
Lidocaine and prilocaine toxicity in a patient receiving treatment for mollusca contagiosa.
    Journal of the American Academy of Dermatology, 2001, Volume: 44, Issue:2 Suppl

    Topics: Administration, Topical; Anesthetics, Combined; Child, Preschool; Female; Follow-Up Studies; Humans;

2001
Drug-induced methemoglobinemia during thoracoscopic lung biopsy.
    The Annals of thoracic surgery, 2001, Volume: 71, Issue:2

    Topics: Aerosols; Benzocaine; Bronchiolitis Obliterans; Gels; Humans; Intraoperative Complications; Lidocain

2001
Methemoglobinemia complicating topical lidocaine used during endoscopic procedures.
    The American journal of medicine, 2001, Volume: 111, Issue:2

    Topics: Adult; Aged; AIDS-Related Opportunistic Infections; Anesthetics, Local; Bronchoscopy; Drug-Related S

2001
Severe oxyhemoglobin desaturation during induction of anesthesia in a patient with congenital methemoglobinemia.
    Anesthesiology, 2001, Volume: 95, Issue:5

    Topics: Adult; Apnea; Blood Gas Analysis; Humans; Lidocaine; Male; Methemoglobinemia; Methylene Blue; Oximet

2001
Topical anesthetics update: EMLA and beyond.
    Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 2001, Volume: 27, Issue:12

    Topics: Anesthetics, Local; Drug Combinations; Drug Costs; Gels; Humans; Lidocaine; Lidocaine, Prilocaine Dr

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
[Methemoglobinemia induced by repeated abuse of lidocaine viscous gel].
    Acta clinica Belgica, 2002, Volume: 57 Suppl 1

    Topics: Adult; Anesthetics, Local; Humans; Lidocaine; Male; Methemoglobinemia; Substance-Related Disorders

2002
Topical anesthetic-induced methemoglobinemia in sheep: a comparison of benzocaine and lidocaine.
    Fundamental and applied toxicology : official journal of the Society of Toxicology, 1992, Volume: 18, Issue:2

    Topics: Administration, Topical; Anesthesia; Animals; Benzocaine; Dose-Response Relationship, Drug; Female;

1992
Topical anaesthesia in upper gastrointestinal endoscopy.
    BMJ (Clinical research ed.), 1991, Nov-09, Volume: 303, Issue:6811

    Topics: Anesthesia, Local; Endoscopy, Gastrointestinal; Humans; Lidocaine; Methemoglobinemia

1991
Methaemoglobinaemia in children treated with prilocaine-lignocaine cream.
    BMJ (Clinical research ed.), 1990, Sep-08, Volume: 301, Issue:6750

    Topics: Child; Humans; Lidocaine; Methemoglobinemia; Ointments; Prilocaine

1990
Inverse relationship between age-dependent erythrocyte activity of methaemoglobin reductase and prilocaine-induced methaemoglobinaemia during infancy.
    British journal of anaesthesia, 1990, Volume: 64, Issue:1

    Topics: Age Factors; Anesthetics, Local; Cytochrome-B(5) Reductase; Drug Combinations; Erythrocytes; Female;

1990
Methemoglobinemia after lidocaine administration.
    Chest, 1990, Volume: 98, Issue:2

    Topics: Humans; Lidocaine; Methemoglobinemia

1990
Methaemoglobinaemia in children treated with prilocaine-lignocaine cream.
    BMJ (Clinical research ed.), 1990, Jul-21, Volume: 301, Issue:6744

    Topics: Anesthetics, Local; Child; Child, Preschool; Drug Combinations; Humans; Infant; Lidocaine; Lidocaine

1990
Severe methaemoglobinaemia after flexible fibreoptic bronchoscopy.
    Thorax, 1989, Volume: 44, Issue:3

    Topics: Acquired Immunodeficiency Syndrome; Adult; Benzocaine; Bronchoscopy; Fiber Optic Technology; Humans;

1989
Comparison of lidocaine and prilocaine for intravenous regional anesthesia.
    Anesthesiology, 1988, Volume: 69, Issue:3

    Topics: Anesthesia, Conduction; Anesthesia, Intravenous; Drug Evaluation; Humans; Lidocaine; Methemoglobinem

1988
Acquired methemoglobinemia. A case report.
    Missouri medicine, 1987, Volume: 84, Issue:4

    Topics: Aged; Aged, 80 and over; Benzocaine; Female; Humans; Lidocaine; Methemoglobinemia

1987
Plasma concentrations of prilocaine and lidocaine and methaemoglobin formation in infants after epicutaneous application of a 5% lidocaine-prilocaine (EMLA).
    Acta anaesthesiologica Scandinavica, 1987, Volume: 31, Issue:7

    Topics: Administration, Topical; Female; Hemoglobins; Humans; Infant; Lidocaine; Male; Methemoglobinemia; Oi

1987
Methemoglobin levels following intravenous lidocaine administration.
    Annals of emergency medicine, 1987, Volume: 16, Issue:3

    Topics: Adult; Aged; Coronary Disease; Emergencies; Female; Humans; Injections, Intravenous; Lidocaine; Male

1987
Methemoglobinemia associated with a prilocaine-lidocaine cream and trimetoprim-sulphamethoxazole. A case report.
    Acta anaesthesiologica Scandinavica, 1985, Volume: 29, Issue:4

    Topics: Administration, Topical; Drug Combinations; Drug Synergism; Humans; Infant; Lidocaine; Male; Methemo

1985
Local anaesthetics.
    Laval medical, 1971, Volume: 42, Issue:8

    Topics: Amides; Anesthetics, Local; Brain Edema; Cardiovascular Diseases; Central Nervous System Diseases; C

1971
Continuous intrapartum lumbar epidural block: a comparative study employing propitocaine 2 percent, lidocaine 1.5 percent with epinephrine, and 1.5 percent lidocaine.
    Southern medical journal, 1971, Volume: 64, Issue:4

    Topics: Anemia; Anesthesia, Conduction; Anesthesia, Epidural; Anesthesia, Obstetrical; Epinephrine; Female;

1971
New developments in epidural anesthesia for obstetrics.
    American journal of obstetrics and gynecology, 1970, Apr-01, Volume: 106, Issue:7

    Topics: Anesthesia, Obstetrical; Anesthesia, Spinal; Epinephrine; Female; Fetus; Humans; Lidocaine; Mepivaca

1970
Passage of procaine hydrochloride and para-aminobenzoic acid across the human placenta.
    American journal of obstetrics and gynecology, 1968, Volume: 100, Issue:7

    Topics: Adjuvants, Anesthesia; Aminobenzoates; Anesthesia, Conduction; Anesthesia, Obstetrical; Anesthetics,

1968
Local anesthetic and toxicologic properties of Citanest.
    Acta anaesthesiologica Scandinavica. Supplementum, 1965, Volume: 16

    Topics: Anesthesia, Conduction; Anesthesia, Local; Anesthetics, Local; Animals; Cats; Lidocaine; Methemoglob

1965
Regional anesthesia by the intravenous route.
    JAMA, 1965, Dec-20, Volume: 194, Issue:12

    Topics: Anesthesia, Conduction; Anesthesia, Intravenous; Anesthetics, Local; Arm Injuries; Female; Fractures

1965
Methemoglobinemia following epidural analgesia during labor. A case report and literature review.
    American journal of obstetrics and gynecology, 1966, Jul-01, Volume: 95, Issue:5

    Topics: Anesthesia, Obstetrical; Anesthesia, Spinal; Anesthetics, Local; Female; Glucose; Humans; Lidocaine;

1966
Citanest--a local anesthetic.
    The Medical letter on drugs and therapeutics, 1966, Dec-02, Volume: 8, Issue:24

    Topics: Anesthetics, Local; Female; Fetus; Humans; Lidocaine; Male; Methemoglobinemia; Pregnancy

1966