Hydroxocobalamin for Vasoplegic Syndrome in Liver Transplantation: Restoration of Blood Pressure Without Vasospasm.
A A Case Rep
; 7(12): 247-250, 2016 Dec 15.
Article
in En
| MEDLINE
| ID: mdl-27749291
ABSTRACT
Systemic vasoplegia is common in patients undergoing liver transplantation. In this report, we present a case in which treatment with conventional vasopressors caused peripheral arterial spasm, rendering arterial blood pressure monitoring impossible. Administration of methylene blue resolved the vasospasm; however, concern for toxic dose requirements limited its use. Hydroxocobalamin administration resolved the vasospasm and increased blood pressure without the potential adverse effects seen with methylene blue. This case represents the first report of hydroxocobalamin use in liver transplantation and may represent a new option for the treatment of vasoplegia and the potential vasospasm that may result from traditional vasopressors.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Blood Pressure
/
Liver Transplantation
/
Vasoplegia
/
Peripheral Arterial Disease
/
Hydroxocobalamin
Type of study:
Diagnostic_studies
Limits:
Female
/
Humans
/
Middle aged
Language:
En
Journal:
A A Case Rep
Year:
2016
Document type:
Article