Fluid resuscitation is a cornerstone of the treatment of vasodilation associated with vasoplegic syndrome after cardiopulmonary bypass. Excessive nitric oxide production contributes to capillary leak ...and creates the need for ongoing volume resuscitation. In this report, the authors describe two patients with vasoplegic syndrome after cardiac surgery in which treatment with hydroxocobalamin in the presence or absence of methylene blue reduced volume resuscitation requirements and restored catecholamine responsiveness. The current case series describes the possible efficacy of hydroxocobalamin for reversing positive fluid balance associated with catecholamine-refractory vasoplegic syndrome in cardiac surgery patients.
A rare complication of metastatic osteosarcoma Pagel, Paul S., MD PhD; Davidovich, Ryan M., MD; Steck, Dominik T., MD ...
Journal of cardiothoracic and vascular anesthesia,
08/2017, Letnik:
31, Številka:
4
Journal Article