Abstract:
:The inflammatory response induced by cardiopulmonary bypass decreases vascular tone, which in turn can lead to vasoplegic syndrome. Indeed the hypotension consequent to on-pump cardiac surgery often necessitates vasopressor and intravenous fluid support. Methylene blue counteracts vasoplegic syndrome by inhibiting the formation of nitric oxide. We report the use of methylene blue in a 75-year-old man who developed vasoplegic syndrome after cardiac surgery. After the administration of methylene blue, his hypotension improved to the extent that he could be weaned from vasopressors. The use of methylene blue should be considered in patients who develop hypotension refractory to standard treatment after cardiac surgery.
journal_name
Tex Heart Inst Jjournal_title
Texas Heart Institute journalauthors
Manghelli J,Brown L,Tadros HB,Munfakh NAdoi
10.14503/THIJ-14-4470subject
Has Abstractpub_date
2015-10-01 00:00:00pages
491-4issue
5eissn
0730-2347issn
1526-6702journal_volume
42pub_type
杂志文章abstract::Few orthotopic heart transplantations have been performed in patients infected with the human immunodeficiency virus since the first such case was reported in 2001. Since that time, advances in highly active antiretroviral therapy have resulted in potent and durable suppression of the causative human immunodeficiency ...
journal_title:Texas Heart Institute journal
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journal_title:Texas Heart Institute journal
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journal_title:Texas Heart Institute journal
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journal_title:Texas Heart Institute journal
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:Texas Heart Institute journal
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:Texas Heart Institute journal
pub_type: 杂志文章
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journal_title:Texas Heart Institute journal
pub_type: 杂志文章
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journal_title:Texas Heart Institute journal
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doi:
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pub_type: 杂志文章
doi:
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journal_title:Texas Heart Institute journal
pub_type: 杂志文章
doi:
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journal_title:Texas Heart Institute journal
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doi:
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doi:
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