Anesthetic Management of a Patient With Hemoglobin M Disease Undergoing Laparoscopic Uterine Myomectomy: A Case Report

Laiwei You; Zhenzhou Li; Yong Cheng; Na Yao; Jianrong Guo

doi:10.1016/j.jopan.2023.08.025

Anesthetic Management of a Patient With Hemoglobin M Disease Undergoing Laparoscopic Uterine Myomectomy: A Case Report

J Perianesth Nurs. 2023 Dec 28:S1089-9472(23)00948-6. doi: 10.1016/j.jopan.2023.08.025. Online ahead of print.

Authors

Laiwei You¹, Zhenzhou Li¹, Yong Cheng¹, Na Yao¹, Jianrong Guo²

Affiliations

¹ Department of Anesthesiology, Shanghai Gongli Hospital, Naval Military Medical University, Shanghai, China.
² Department of Anesthesiology, Shanghai Gongli Hospital, Naval Military Medical University, Shanghai, China. Electronic address: jianrguo_sh@163.com.

PMID: 38159101
DOI: 10.1016/j.jopan.2023.08.025

Abstract

Hemoglobin M (Hb M) is a group of abnormal Hb variants that form methemoglobin, which leads to cyanosis. Patients with Hb M appear cyanotic but are usually asymptomatic. Cyanosis with low peripheral oxygen saturation is unresponsive to oxygen therapy despite normal partial pressure of oxygen. As such, close attention should be paid during anesthesia. We report the first case of a Hb M patient undergoing laparoscopic uterine myomectomy under general anesthesia.

Keywords: anesthetic management; hemoglobin M disease; laparoscopic uterine myomectomy.