Acute Circulatory Failure Clinical Trial
Official title:
Microcirculatory Effects of Methylene Blue in Vasoplegic Shock After Cardiopulmonary Bypass: a Pilot Study
International guidelines recommend Methylene Blue (MB) as a second-line drug in the treatment
of norepinephrine refractory vasoplegic shock (VS) after Cardiopulmonary Bypass CPB.
Macrocirculatory effects of MB in this setting are now well established but microcirculatory
effects of MB remain unknown.
The purpose of this study is to assess the micro vascular effects of a single administration
of methylene blue (1.5 mg/kg over 30 minutes) for norepinephrine-refractory VS post CPB.
Microcirculatory effect will be monitored before and one hour after MB infusion through
cutaneous refill time, video microscopy measurements of the sublingual microcirculation and
tissue oxygen saturation combined with vascular occlusion test (VOT).
n/a
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