Succesful use of methylene blue in a patient with refractory shock on veno-arterial extracorporeal membrane oxygenation

Authors: M. Pořízka 1;  J. Kunstýř 1;  P. Kopecký 1;  M. Balík 1
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, Všeobecná fakultní nemocnice v Praze, 1. lékařská fakulta, Univerzita Karlova 1
Published in: Anest. intenziv. Med., 28, 2017, č. 5, s. 305-308
Category: Intesive Care Medicine - Case Report


Refractory circulatory shock is associated with excessive mortality in critically ill patients. Non-adrenergic vasopressors, including methylene blue, are often considered as an adjuvant therapy to the ordinary vasopressor treatment. In this case report we present a case of successful use of methylene blue reversing refractory septic shock in a patient on veno-arterial extracorporeal membrane oxygenation due to septic cardiomyopathy.

methylene blue – distributive shock – refractory vasoplegia – cardiomyopathy – extracorporeal membrane oxygenation


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Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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