AI Article Synopsis
- Peripheral vasopressor administration is often chosen due to limited resources or as a temporary measure before central access is established, but it can lead to complications like extravasation and tissue damage.
- Phentolamine is the only officially approved treatment for vasopressor extravasation, although other agents have shown success in some cases.
- The report discusses a unique case where topical nitroglycerin was effectively used to treat peripheral extravasation of vasopressors in an ICU in Kathmandu, marking a first for this approach in Nepal.
Article Abstract
Peripheral route for administration of vasopressors is often opted due to resource limitations or as a rescue until central venous access is established. This, however, is not devoid of complications, the most common being extravasation and tissue injury. Phentolamine is the only drug approved for management of vasopressor extravasation; however, successful use of other agents has been reported. Here we report a case of peripheral extravasation of vasopressors, successfully managed with topical nitroglycerin in intensive care unit in Kathmandu. To our knowledge, this is the first report of such kind from Nepal.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7416830 | PMC |
| http://dx.doi.org/10.1093/omcr/omaa066 | DOI Listing |
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