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Review Case Reports
Methylene blue for burn-induced vasoplegia: case report and review of literature.
- Joseph T Church, Joseph A Posluszny, Mark Hemmila, Kathleen B To, Jill R Cherry-Bukowiec, and Jennifer Waljee.
- From the Department of Surgery, University of Michigan Health System, Ann Arbor.
- J Burn Care Res. 2015 Mar 1;36(2):e107-11.
AbstractWe 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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