Methylene blue treatment for resistant shock following renal transplantation.

Hershman, Eli; Hadash, Amir; Attias, Ori; Ben-Ari, Josef

We 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.

METHYLENE blue; SHOCK (Pathology); POSTOPERATIVE care; THERAPEUTICS

Pediatric Anesthesia, 2015, Vol 25, Issue 11, p1168

1155-5645

Academic Journal

10.1111/pan.12742