A systematic review of extravasation and local tissue injury from administration of vasopressors through peripheral intravenous catheters and central venous catheters.
The discussions analyze the safety of peripheral vasopressor infusions, with posts citing specific data like infusion durations of around 55 hours, and some participants debating complications and best practices, emphasizing a nuanced understanding of the article's findings through technical language and clinical context.
AgreementModerate agreement
Most users acknowledge the findings, highlighting the balance between peripheral and central line use, with some emphasizing the safety of short-term peripheral administration.
InterestHigh interest
Discussions reflect high curiosity due to clinical relevance, with mentions of infusion durations and complication rates.
EngagementModerate engagement
Posts include specific data points like infusion times and incidents, showing moderate active engagement rather than passive reading.
ImpactModerate impact
The posts discuss practical implications such as earlier use of peripheral lines and safety considerations, indicating a moderate influence on clinical practice.
Abstract in brief
This systematic review examined reports of tissue injury or extravasation caused by vasopressor drugs administered through peripheral or central IVs, analyzing data up to January 2014.
A total of 85 articles involving 270 patients were included, with most tissue injury events (204 out of 270) resulting from peripheral IV vasopressor infusions, which typically lasted around 24 hours.
The review highlights that most injuries occurred at sites distal to major joints, and emphasizes the need for further research to better understand the safety of peripheral vasopressor administration.
Before, we've stuck to central lines for pressors to avoid extravasation but waiting for CL isn't an option when profoundly hypotensive. Short-term peripheral admin of pressors is safe. Complications arise after ~55h of infusion
#medsky #EMsky #nursesky #pharmsky
pubmed.ncbi.nlm.nih.gov/25669592/
@anabenzaprina @miauhelo @camomiwa Olha, casos de extravasamento são bem raros e mesmo assim, necrose local é mais rara ainda.
Pra acontecer nos 4 membros? Ou alguém fez algo muito errado ou não foi os vasopressores.
https://t.co/FPj012qffa
+
Jun 26, 2023 · 1 like · 17,994 followersView post →
AB
Anthony Lau, PharmD BCPS
@alaurx.bsky.social · Bluesky
"There were 204 local tissue injury events from peripheral administration of vasopressors, with an average duration of infusion of 55.9 hours (±68.1), median time of 24 hours, and range of 0.08 to 528 hours."
#medsky #EMsky #nursesky #pharmsky
pubmed.ncbi.nlm.nih.gov/25669592/
A systematic review of extravasation and local tissue injury from administration of vasopressors through pvc or cvc http://www.wessexics.com/The_Bottom_Line/Review/index.php?id=6892495633638977747
This video discusses the safety of using norepinephrine infusions through peripheral IV lines during surgery. With a review of 14,385 patients, the study suggests a very low risk of complications, significantly aiding…
Contributor Aaron Lessen MD discusses the safety of peripheral vasopressor administration, highlighting low tissue injury risks and safety measures such as larger bore and proximal IV sites, which suggest peripheral use…
"There were 204 local tissue injury events from peripheral administration of vasopressors, with an average duration of infusion of 55.9 hours (±68.1), median time of 24 hours, and range of 0.08 to 528 hours."
#medsky #EMsky #nursesky #pharmsky
pubmed.ncbi.nlm.nih.gov/25669592/
Before, we've stuck to central lines for pressors to avoid extravasation but waiting for CL isn't an option when profoundly hypotensive. Short-term peripheral admin of pressors is safe. Complications arise after ~55h of infusion
#medsky #EMsky #nursesky #pharmsky
pubmed.ncbi.nlm.nih.gov/25669592/
@anabenzaprina @miauhelo @camomiwa Olha, casos de extravasamento são bem raros e mesmo assim, necrose local é mais rara ainda.
Pra acontecer nos 4 membros? Ou alguém fez algo muito errado ou não foi os vasopressores.
https://t.co/FPj012qffa
+
Jun 26, 2023 · 1 like · 17,994 followersView post →
G
Gav
@dentongavin.bsky.social · Bluesky
A systematic review of extravasation and local tissue injury from administration of vasopressors through pvc or cvc http://www.wessexics.com/The_Bottom_Line/Review/index.php?id=6892495633638977747
Infusion Therapy Standards of Practice 2021 | PDF | Nursing | Health ...
News
J Crit Care. Vessel Health and Preservation: The Right Approach for Vascular 2015;30(3):653.e9-653.e6.53E17. doi:10.1016/j.jcrc.2015.01.014. Access ...
IV Extravasation Management Guide | PDF | Intravenous Therapy ...
News
doi:10.1016/j.jcrc.2015.01.014 8. Fox AN, Villanueva R, Miller JL. Management of amiodarone extravasation with intradermal hyaluronidase. Am J Health Syst ...
A Systematic Review of Extravasation and Local Tissue Injury From ...
News
infusion in these areas will cause tissue injury. doi.org/10.1016/j.jcrc.2015.01.014. Because the data from this review are derived principally from case
VS
