Podcast 596: Peripheral Vasopressors

Podcast 596: Peripheral Vasopressors

Contributor: Aaron Lessen, MD

Educational Pearls:

  • Traditional teaching has shied away from using vasopressors through peripheral IVs
  • Tissue necrosis from extravasation is cited as a risk of use of vasopressors through a peripheral site
  • However, risk of extravasation is low (2-4%) and even more rarely results in significant complications
  • Using an IV that is more proximal and larger bore with monitoring can further minimize these risks
  • Starting with peripheral vasopressors in a critically ill patient appears to be without significant increased cutaneous complications compared to using a central line alone

References

Loubani OM, Green RS. A systematic review of extravasation and local tissue injury from administration of vasopressors through peripheral intravenous catheters and central venous catheters. J Crit Care. 2015;30(3):653.e9-653.e6.53E17. doi:10.1016/j.jcrc.2015.01.014

Cardenas-Garcia J, Schaub KF, Belchikov YG, Narasimhan M, Koenig SJ, Mayo PH. Safety of peripheral intravenous administration of vasoactive medication. J Hosp Med. 2015;10(9):581-585. doi:10.1002/jhm.2394

Lewis T, Merchan C, Altshuler D, Papadopoulos J. Safety of the Peripheral Administration of Vasopressor Agents. J Intensive Care Med. 2019;34(1):26-33. doi:10.1177/0885066616686035

Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD



Jaksot(1147)

UnfilterED #8: Dr. Christopher Hoyte

UnfilterED #8: Dr. Christopher Hoyte

Dr. Chris Hoyte is an ED physician, toxicologist and researcher based in Denver, CO. He was featured in Bring Em' All: Chaos. Care. Stories from Medicine's Front Line, a book celebrating emergency phy...

24 Kesä 202047min

Podcast 574:  Cyanide Toxicity

Podcast 574: Cyanide Toxicity

Contributor: Nick Tsipis, MD Educational Pearls: Significant cyanide exposure most commonly occurs from fire/smoke exposure particularly when plastics are involved Cyanide binds to cytochrome oxidase...

23 Kesä 20205min

Podcast 573:  Arsenic Toxicity

Podcast 573: Arsenic Toxicity

Contributor: Nick Tsipis, MD Educational Pearls: Arsenic is a heavy metal that binds to multiple cellular enzymes and inhibits aerobic metabolism  It is primarily absorbed through the skin, respirato...

22 Kesä 20204min

Preview: The Black Doctors Podcast

Preview: The Black Doctors Podcast

In addition to producing our own content, we believe in using our platform to amplify other voices and perspectives in medicine. With that in mind, check out 'The Black Doctor Podcast' from Dr. Steven...

21 Kesä 202030s

Podcast 572:  Locked In Syndrome

Podcast 572: Locked In Syndrome

Contributor: Aaron Lessen, MD Educational Pearls: Locked in syndrome results typically from an infarct of the basilar artery leading to infarction of the brainstem but typically preservation of the h...

16 Kesä 20203min

Podcast 571:  Digital Blocks

Podcast 571: Digital Blocks

Contributor: Jared Scott, MD Educational Pearls: Traditional digital block involves dorsal approach on either side of the digit, injecting local anesthetic along each side to numb all four nerves of ...

15 Kesä 20203min

Podcast 570: Oh no no no to O2

Podcast 570: Oh no no no to O2

Contributor: Aaron Lessen, MD Educational Pearls: Supplemental oxygen is not a completely benign intervention. A recent meta-analysis found that O2 saturations above 96% while on supplemental O2 wer...

9 Kesä 20202min

Podcast 570: Oh no no no to O2

Podcast 570: Oh no no no to O2

Contributor: Aaron Lessen, MD Educational Pearls: Supplemental oxygen is not a completely benign intervention. A recent meta-analysis found that O2 saturations above 96% while on supplemental O2 wer...

9 Kesä 20202min

Suosittua kategoriassa Tiede

rss-poliisin-mieli
rss-mita-tulisi-tietaa
tiedekulma-podcast
rss-luontopodi-samuel-glassar-tutkii-luonnon-ihmeita
utelias-mieli
docemilia
rss-duodecim-lehti
radio-antro
filocast-filosofian-perusteet
rss-lihavuudesta-podcast
rss-sosiopodi