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(1146)

CBHW Summit: Project Colorado Opioid Synergy

CBHW Summit: Project Colorado Opioid Synergy

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Lesley Brooks, MD, Chief Medical Officer, Sunrise Community Health Center; Medical Director – Quality, North Colorado...

26 Nov 201919min

CBHW Summit: Innovative and Interactive Approaches to Suicide Assessment and Safety Planning

CBHW Summit: Innovative and Interactive Approaches to Suicide Assessment and Safety Planning

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Khara Croswaite Brindle, MA, LPC, ACS, Croswaite Counseling, PLLC

26 Nov 20191h 13min

CBHW Summit: Benzos - Boon or Blunder?

CBHW Summit: Benzos - Boon or Blunder?

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Steven Wright, MD, Colorado Consortium for Prescription Drug Abuse Prevention

26 Nov 20191h 51min

Podcast 519: Malaria Drug Resistance

Podcast 519: Malaria Drug Resistance

Contributor: John Winkler Educational Pearls: There is increasing resistance to antimalarial drugs, especially in P. falciparum. This trend started with chloroquine, but is now spreading to the other...

19 Nov 20193min

Podcast 518: Professional Complications

Podcast 518: Professional Complications

Contributor: Jared Scott, MD Educational Pearls In a 4 yr period at 2 hospital systems, unprofessional behavior of surgeons was monitored via a complaint system. Number of complaints was compared wit...

16 Nov 20193min

Podcast 517: It's all about the PEEP

Podcast 517: It's all about the PEEP

Contributor: Dylan Luyten, MD Educational Pearls: Bag-valve masks (BVM) typically  have a port to connect O2 to. Unfortunately room air becomes entrained in the mask, reducing the FiO2 delivered to t...

12 Nov 20195min

UnfilterED #2: Lisa Raville & Dr. Josh Blum

UnfilterED #2: Lisa Raville & Dr. Josh Blum

Lisa Raville and Dr. Josh Blum, two pioneers of harm reduction in Denver, discuss the addiction crisis, the current state of harm reduction and how it will evolve in the future. Intro Music: Backbay...

9 Nov 201952min

Podcast 516: Narcan and Pulmonary Edema

Podcast 516: Narcan and Pulmonary Edema

Contributor: Erik Verzemnieks, MD Educational Pearls: Important to realize complications can occur in the post-opioid overdose patient regardless of cause Narcan administration has been associated wi...

7 Nov 20191min

Populært innen Vitenskap

fastlegen
rekommandert
tingenes-tilstand
jss
rss-rekommandert
liberal-halvtime
villmarksliv
forskningno
sinnsyn
fjellsportpodden
rss-paradigmepodden
nevropodden
rss-nysgjerrige-norge
tidlose-historier
vett-og-vitenskap-med-gaute-einevoll
diagnose
smart-forklart
pod-britannia
dekodet-2
hva-er-greia-med