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Case Reports
Persistent Postoperative Vasoplegia After Ureteronephrectomy Due To Suspected Intravesical Gemcitabine Toxicity.
- Luying Yan, Manuel A Bohorquez, and Zyad J Carr.
- From the Yale University School of Medicine, New Haven, Connecticut.
- A A Pract. 2021 Oct 22; 15 (10): e01537e01537.
AbstractWe describe a case of unusually persistent vasoplegia in the postoperative course of a patient recovering after elective right robotic nephroureterectomy with intravesical salvage gemcitabine. In the treatment of patients with intravesical adjuvant therapy, gemcitabine may precipitate persistent vasoplegia requiring further fluid resuscitative efforts, vasopressor support, and other supportive management. This potential adverse event should be considered when all common causes of persistent vasoplegia are ruled out, such as shock related to bleeding, infection, allergic reaction, or pulmonary embolic phenomenon.Copyright © 2021 International Anesthesia Research Society.
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