Vasopressor Effect of Indigo Carmine in the Management of Refractory Neurogenic Shock.
catecholamine-refractory shock
cervical cord injury
indigo carmine
neurogenic shock
vasopressor
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Jun 2023
Jun 2023
Historique:
accepted:
26
06
2023
medline:
31
7
2023
pubmed:
31
7
2023
entrez:
31
7
2023
Statut:
epublish
Résumé
Neurogenic shock in patients with spinal cord injuries can be fatal. Catecholamines are commonly used for the management of neurogenic shock; however, the treatment of catecholamine-refractory neurogenic shock remains challenging. A 78-year-old woman with neurogenic shock from cervical cord injury underwent posterior cervical spine decompression and fixation. The patient's blood pressure could not be maintained with catecholamine administration throughout the surgery. Therefore, indigo carmine was administered, and an effective increase in blood pressure was achieved. The postoperative course was uneventful. The findings from this case indicate that indigo carmine may have an effective vasoconstrictive action in patients with neurogenic shock who do not respond to catecholamines.
Identifiants
pubmed: 37519495
doi: 10.7759/cureus.41004
pmc: PMC10371770
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e41004Informations de copyright
Copyright © 2023, Kurozumi et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Neurosurgery. 1993 Dec;33(6):1007-16; discussion 1016-7
pubmed: 8133985
J Neurosurg Spine. 2020 Mar 20;:1-5
pubmed: 32197239
Arch Surg. 2003 Oct;138(10):1127-9
pubmed: 14557131
J Neurotrauma. 2018 Feb 1;35(3):461-466
pubmed: 29141498
Neurosurg Focus. 2008;25(5):E13
pubmed: 18980473
Anesthesiol Clin. 2021 Mar;39(1):127-138
pubmed: 33563376
N Engl J Med. 2013 Oct 31;369(18):1726-34
pubmed: 24171518
Medicine (Baltimore). 2015 Mar;94(12):e686
pubmed: 25816041
J Spinal Cord Med. 2008;31(4):403-79
pubmed: 18959359
Biol Pharm Bull. 2013;36(9):1416-9
pubmed: 23995652
J Neurotrauma. 2003 Dec;20(12):1351-63
pubmed: 14748983
Henry Ford Hosp Med J. 1969 Summer;17(2):131-7
pubmed: 5783815