Hypoxemia during bronchoscopy occurs frequently. It can usually be managed
by supplemental oxygen and bronchodilators or, in some cases, occasionally
stopping the procedure. Benzocaine spray is commonly used as a topical anes
thetic agent during bronchoscopy. However, it has been associated with the
development of methemoglobinemia. The following is a case report of hypoxia
during bronchoscopy from benzocaine-induced methemoglobinemia and its mana
gement. (C) 1999 by The Society of Thoracic Surgeons.