TY - JOUR
T1 - Methylene blue for burn-induced vasoplegia
T2 - Case report and review of literature
AU - Church, Joseph T.
AU - Posluszny, Joseph A.
AU - Hemmila, Mark
AU - To, Kathleen B.
AU - Cherry-Bukowiec, Jill R.
AU - Waljee, Jennifer
PY - 2015/2/28
Y1 - 2015/2/28
N2 - We report the use of a single dose of methylene blue in a patient with burn-induced vasoplegia refractory to fluids, vasopressors, and steroids. Administration of methylene blue allowed for cessation of epinephrine infusion within 2 hours of administration, and reduction in excessive fluid resuscitation. The patient's clinical course continued for 2 months and was complicated by severe acute respiratory distress syndrome, pneumonia, septic shock, poor skin graft adherence, renal failure requiring continuous renal replacement therapy, cutaneous mucormycosis, and ultimately, withdrawal of care and death. Despite the eventual outcome, this is the longest reported survival following methylene blue administration for vasoplegia secondary to burn injury.
AB - We report the use of a single dose of methylene blue in a patient with burn-induced vasoplegia refractory to fluids, vasopressors, and steroids. Administration of methylene blue allowed for cessation of epinephrine infusion within 2 hours of administration, and reduction in excessive fluid resuscitation. The patient's clinical course continued for 2 months and was complicated by severe acute respiratory distress syndrome, pneumonia, septic shock, poor skin graft adherence, renal failure requiring continuous renal replacement therapy, cutaneous mucormycosis, and ultimately, withdrawal of care and death. Despite the eventual outcome, this is the longest reported survival following methylene blue administration for vasoplegia secondary to burn injury.
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U2 - 10.1097/BCR.0000000000000134
DO - 10.1097/BCR.0000000000000134
M3 - Review article
C2 - 25687361
AN - SCOPUS:84923864673
VL - 36
SP - e107-e111
JO - Journal of Burn Care and Research
JF - Journal of Burn Care and Research
SN - 1559-047X
IS - 2
ER -