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Tag: Peripheral Vasopressors

The Safety and Efficacy of Push Dose Vasopressors in Critically Ill Adults

Background Information: Acute Hypotension is associated with increased morbidity and mortality. Continuous vasopressor infusions have previously been the mainstay of treatment. However, peripherally dosed push dose pressors, (PDPs), are beginning to be administered more frequently for management of acute hypotension.1-4 …

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CardiovascularResuscitation

Are Peripheral Vasopressors Causing Too Many Complications?

Background:  Vasopressors are usually given through central venous catheters (CVC). This, however, is a time-consuming process and placement of a peripheral venous catheter (PIV) is much faster. Each hour of delay has been associated with a 2% increase in in-hospital mortality.2 Using …

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Resuscitation

Peripheral Pressors: 6 Pearls to Not F*#k Up the Arm

Traditionally, vasopressor infusions have been done through central venous catheters (CVCs) due to the hypothetical risk of extravasation injury to extremities when given through peripheral IVs.  The documented risk of extravasation from peripheral pressors is 3 – 6% [1][3][4][5]. Hypothetically, …

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Procedures and Skills

One More Update on Using Peripheral Intravenous (PIV) Vasopressors

Background: In REBEL Cast Episode 73, Anand Swaminathan and I discussed two recent studies on the safety of peripheral vasopressors from two large trials [1][2]. An email from good friend Rory Spiegel brought my attention to yet another trial on …

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Procedures and SkillsResuscitation

REBEL Cast Ep73: Are Peripheral Vasopressors Safe?

Background: Traditionally, vasopressors have been given through central venous catheters (CVCs) in the critically ill.However, the time it takes to place a CVC is time a patient could potentially remain hypotensive. Early initiation of vasopressors may be associated with reduced …

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Resuscitation

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