Importance of multidisciplinary ward rounds in critical care units aimed at meeting international safety requirement: A case of methaemoglobin in a patient with genitourinary sepsis

Abstract

There are certain clinical situations within the intensive care unit that could generate structural alterations in the haem portion of haemoglobin. There are disorders that are not often documented, and that can be triggered in critically ill adults patients on multiple medications, and certain conditions related to poorly controlled inoculum that generate oxidative stress. One of these is methaemoglobin, a very uncommon diagnosis since its clinical suspicion depends on different biomedical equipment such as a co-oximetry, leader pharmacovigilance interventions, and the achievement of international safety targets. The clinical case is presented on a patient of 90 years-old with infection of urinary tract infection due to a microorganism with extended resistance. In the absence of low cardiac output or mitochondrial disease debuted with persistent metabolic acidosis without any clear cause.