Hencken Laura, To Long, Ly Nancy, Morgan Jeffrey A
Department of Pharmacy Services, Henry Ford Hospital, Detroit, Michigan.
Department of Cardiology, Henry Ford Hospital, Detroit, Michigan.
J Card Surg. 2016 Apr;31(4):208-10. doi: 10.1111/jocs.12705. Epub 2016 Mar 2.
Methylene blue (MB) has been used for additional blood pressure support in patients who develop severe, refractory vasoplegia; however, MB can induce serotonin syndrome, especially when used in conjunction with other serotonergic agents. We describe a case of serotonin syndrome in a patient who received MB for vasoplegic syndrome after left ventricular assist device implantation and discuss its presentation and management.
亚甲蓝(MB)已被用于对发生严重难治性血管麻痹的患者进行额外的血压支持;然而,亚甲蓝可诱发血清素综合征,尤其是在与其他血清素能药物联合使用时。我们描述了一例在植入左心室辅助装置后因血管麻痹综合征接受亚甲蓝治疗的患者发生血清素综合征的病例,并讨论了其临床表现及处理方法。