• Paediatric anaesthesia · Nov 2015

    Case Reports

    Methylene blue treatment for resistant shock following renal transplantation.

    • Eli Hershman, Amir Hadash, Ori Attias, and Josef Ben-Ari.
    • Department of Pediatric Intensive Care, Ruth Rappaport Children's Hospital at Rambam Health Care Campus, Haifa, Israel.
    • Paediatr Anaesth. 2015 Nov 1; 25 (11): 1168-9.

    AbstractWe report a case of a 19-year-old female with a history of hyperoxaluria type 1 and renal failure. The patient presented for a second renal transplantation 17 years after her first combined liver and kidney transplantation. Postoperative shock was highly resistant to fluids and required massive pharmacologic hemodynamic support. Vasoplegic shock was the presumed diagnosis, and methylene blue was utilized as a rescue therapy, with a rapid hemodynamic response and no apparent side effects.© 2015 John Wiley & Sons Ltd.

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