A healthy 62-year-old man receives several cartridges of 4% prilocaine for periodontal surgery in two quadrants. Two hours later he appears cyanotic, with SpO2 86% on room air that does not improve with 100% oxygen. He has headache and fatigue, and blood drawn for testing looks chocolate brown. He has no history of G6PD deficiency.
What is the most appropriate treatment?
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