In this episode of The Nurse Anesthesia Podcast, Jeremy & Sass discuss what happens when the routine treatments for intraoperative hypotension don’t work, and focus on the interventions you can consider when refractory hypotension occurs. They talk about different causes of refractory hypotension with a focus on vasoplegic syndrome. They discuss the differences between refractory hypotension and vasoplegic syndrome, and then identify the potential causes and specific treatments for this rare condition.  References<ol><li>Arevalo VN. Methylene Blue as an adjunct to Treat Vasoplegia in patients undergoing Cardiac Surgery Requiring Cardiopulmonary Bypass: A Literature Review. AANA J. 2018;86(6):455-463.</li><li>Habib MA. Methylene Blue for Vasoplegic Syndrome Postcardiac Surgery. Indian J Crit Care Med. 2018;22(3) 168-173.</li><li>Hosseinian L. Methylene Blue: Magic Bullet for Vasoplegia. Anesthesia and Analgesia. 2016;122(1):194-201.</li><li>Levy B. Vasoplegia Treatments: The past, the present and the future. Critical Care. 2018;22(1):52.</li><li>Liu H. Vasoplegic syndrome: An update on perioperative considerations. Journal of Clinical Anesthesia. 2017;40:63-71.</li></ol>About The Nurse AnesthesiaWe are building a commUNITY of learning in anesthesia and critical care! For anyone who wants to learn or review anesthesia concepts…we will set you up for a successful educational jOURney by providing short, meaningful courses to accelerate your nurse anesthesia learning, tackle your training, and become the successful CRNA you have always dreamed of. Let's do this together. It's Go Time! Sign up for The Nurse Anesthesia Coursesour CRISIS MANAGEMENT SERIES is currently available! Learn more about it at <a href='http://www.thenurseanesthesia.com'>www.thenurseanesthesia.com</a>   Follow us on InstagramWe post about all things anesthesia. Follow us on Instagram @thenurseanesthesiaLegal DisclaimerThe Nurse Anesthesia INC. expressly disclaims any liability in connection with the use of any content in its podcasts, social media posts, and all other published content by any third party. Music by Alex Grohl <a href='https://www.nextdaypodcast.com/'>Mixed & Edited by Next Day Podcast</a>info@nextdaypodcast.com

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Episode 20: Hypotension with a Side of Vasoplegic Syndrome

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