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PapersPMID:39903510

The mystery of methylene blue and its role in managing post-cardiac surgery vasoplegic shock.

Annals of medicine2025The record ↗

findings
2
compound
1
endpoints
2
no difference found
1
  1. Finding, limited evidencelowersIntensive care unit length of stay
  2. Finding, very limited evidenceno difference foundAll-cause mortality
Study, every finding
cohort
Dose studied, every finding
2 mg/kg intravenous bolus followed by 0.5 mg/kg/h infusion for 12 h
  • “The patients in the MB group (n = 84) have a lower intensive care unit stay duration in days (9 ± 8 days) vs. (16 ± 6.9) in the control group (n = 116).”
    Population
    Adults with norepinephrine-refractory vasoplegic syndrome after cardiac surgery with cardiopulmonary bypass; 84 given methylene blue within 24 h postoperatively versus 116 not given it, all on norepinephrine; retrospective single-centre cohort, MB group significantly younger

What did not

  • “The study’s primary endpoint, In-hospital mortality, was insignificant between the two groups (38% in the MB group vs. 43% in the control group).”
    Population
    Adults with norepinephrine-refractory vasoplegic syndrome after cardiac surgery with cardiopulmonary bypass; 84 given methylene blue within 24 h postoperatively versus 116 not given it, all on norepinephrine; retrospective single-centre cohort; in-hospital horizon

Study record

Design
cohort study
Species
human
Population
Patients with norepinephrine-refractory vasoplegic syndrome after cardiac surgery with cardiopulmonary bypass (single-center retrospective); 84 received methylene blue within 24 h postoperatively, 116 did not
Participants
200
Comparator
no treatment
Duration
not reported
Endpoints measured
8