Anesth Pain Med.  2019 Oct;14(4):460-464. 10.17085/apm.2019.14.4.460.

Use of methylene blue in vasoplegic syndrome that developed during non-cardiac surgery: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Kyung Hee University College of Medicine, Seoul, Korea. choikhang@gmail.com

Abstract

BACKGROUND
Vasoplegic syndrome is an increasingly recognized disease in perioperative medicine and is characterized by severe hypotension, normal or elevated cardiac output, and decreased systemic vascular resistance. It occurs commonly after cardiopulmonary bypass but may also occur after other types of surgery. CASE: Vasoplegic syndrome developed in our patient during posterior lumbar interbody fusion because of administering nicardipine after phenylephrine. However, the blood pressure did not increase as expected despite simultaneous use of norepinephrine and vasopressin to increase the reduced systemic vascular resistance.
CONCLUSIONS
We present a case of vasoplegic syndrome that developed during posterior lumbar interbody fusion and was treated successfully with methylene blue.

Keyword

Methylene blue; Nicardipine; Vasoplegia
Full Text Links
  • APM
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2021 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr