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



Episoder(1145)

Podcast #302: Flu

Podcast #302: Flu

Author: Jared Scott, M.D. Educational Pearls Flu is widespread throughout the US (through Jan 20th 2018). All age groups have seen surge in hospitalizations, but 65 + age group has seen the largest s...

7 Mar 20183min

Podcast #301: Biliary Pathology

Podcast #301: Biliary Pathology

Author: Don Stader, M.D. Educational Pearls Common pathologies include cholecystitis, choledocholithiasis, and in concerningly ascending cholangitis. Cholecystitis is obstruction at the cystic duct l...

5 Mar 20183min

Opioid Safety Summit: Admiral Winnefeld's Strategy to Wage War on the Opioid Epidemic

Opioid Safety Summit: Admiral Winnefeld's Strategy to Wage War on the Opioid Epidemic

Since the tragic overdose of his son, Admiral Winnefeld has developed an intriguing strategy on how to combat the Opioid Epidemic.

27 Feb 20180s

Dreamland in Denver Part VI: "Dreamland"

Dreamland in Denver Part VI: "Dreamland"

Sam Quinones, American journalist and author of the critically acclaimed book, Dreamland: The True Tale of America's Opiate Epidemic, shares the story of how he discovered the truth about the Opiate E...

16 Feb 201843min

Dreamland in Denver Part V: "Tales from a Harm Reductionist"

Dreamland in Denver Part V: "Tales from a Harm Reductionist"

Lisa Raville, executive director of The Harm Reduction Action Center in Denver, shares tales from her perspective as a Harm Reductionist.

16 Feb 201810min

Dreamland in Denver Part IV: "Doing Harm: Medicine's Role in Creating the Opioid Crisis."

Dreamland in Denver Part IV: "Doing Harm: Medicine's Role in Creating the Opioid Crisis."

Emergency Medical Minute's very own Donald Stader, MD explains Medicine's contribution to the catastrophe that is the Opioid Epidemic.

16 Feb 201819min

Dreamland in Denver Part III:  "Opioid Mythbusters: 10 Fallacies that Fueled the Opiate Crisis"

Dreamland in Denver Part III: "Opioid Mythbusters: 10 Fallacies that Fueled the Opiate Crisis"

Dr. Robert Valuck, director of the Colorado Consortium, presents 10 fallacies that have fueled the Opioid Epidemic.

16 Feb 201819min

Dreamland in Denver Part II: "Why Calling it 'the Opioid Epidemic' Misses the Point

Dreamland in Denver Part II: "Why Calling it 'the Opioid Epidemic' Misses the Point

The Honorable Alby Zweig shares his impactful first-hand experience with addiction, recovery and triumph.

16 Feb 20180s

Populært innen Vitenskap

fastlegen
tingenes-tilstand
rekommandert
jss
rss-rekommandert
rss-nysgjerrige-norge
villmarksliv
forskningno
sinnsyn
rss-paradigmepodden
fjellsportpodden
vett-og-vitenskap-med-gaute-einevoll
nordnorsk-historie
smart-forklart
rss-overskuddsliv
diagnose
abid-nadia-skyld-og-skam
abels-tarn
tomprat-med-gunnar-tjomlid
aldring-og-helse-podden